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Total Fee: $ � '� Date Received: <br /> ,C? z-/3C9 <br /> Entered By: P--19 / ermit#: <br /> Ltf'-'1/"(j9 q-- <br /> CITY OF ORONO - BUILDING PE T 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 /> JOB SITE ADDRESS: WO /-si r //,‘) ' V Pw i)( ZIP: <br /> NAME OF OWNER: CThr(-5 ti PHONE: (home) i/?.57 S /(;(s�{ <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: r C V 4. PHONE: / <br /> CONTACT PERSON: &r c< MOBILE/PAGER:e,i - /-4_50 <br /> MAILING ADDRESS: 7)1,00 "j , bi.e (k i , CITY: E/4 ,4-,.._) <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): -1-3u; Lc( c v ii -4 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> mac) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ .c=9,(---0- <br /> I <br /> CC-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 un' -rstand this is of a permit and work is not to start without a <br /> permit; and that the work will b in .ccord. ce ith the approved plan. <br /> APPLICANT'S SIGNAT `•ioltagmear, _ _ DATE: r <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />