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• <br /> Total Fee: $ JL' c' Date Received: q-30-0 51 <br /> Entered By: � y 0 — Permit #: ADgO/3 <br /> y- vire-I <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> ) <br /> pt» ZIP: <br /> JOB SITE ADDRESS: ( c�� (.�. << �'c.-- �',�i�,� --.------ <br /> NAN E OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: /4.12. • PHONE: 95 2, L11(17.,, /?S V <br /> CONTACT PERSON: =a 1 _ •-- MOBILE/PAGER: c75? , r✓/0, 4-1 -6 <br /> _ <br /> MAILING ADDRESS: `/v5 2 .�o4�t ,� � , CITY;�r ► �.4J�� y_ZIP: 5 <br /> STATE LICENSE: # — 2 c"3-(r5- <br /> ARCHITECT/ENGI EER: [ ` P- PHONE: 3. •3_SSU <br /> MAILING ADDRESS:C 5/: CITY: �r'zL A. l ZIP: /TS-.j-/K2 <br /> NAME: - 2 - REGISTRATION# <br /> T-YPE OF WORK: New 1/ Addition Accessory Structure - <br /> Move Remodel/Alteration Land Alteration <br /> P OPOSED WORK(describe in detail): ,,„. -_ • <br /> Lc (sh- 10 <br /> STORIES: SQ.FEET OF EACItPEOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,,, E <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accord Ce/wit the approved plan. <br /> APPLICANT'S SIGNATURE. <br /> / - -._ DATE: _ � , r/ <br /> NOTE! Earade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior la the event_ Non permitted events will not be allowed. <br /> A <br /> 1 <br />