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Total Fee: $ f5,4,3 -j cs Date Received: <br /> Entered By: Permit#: ,¢ 0,1/7 7 <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) • NER CONTRACT• <br /> JOB SITE ADDRESS: L0T I Z '3Lcx ( wi ( ( Oie‘1`' ZIP: <br /> 105 J V <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR:- t+ w PHONE: C.12- --/ I <br /> CONTACT PERSON: 72-4-04-- MOBILE/PAGER: <br /> MAILING ADDRESS: q/3 'eJ€J acs cc,CITY: t c-,�I,17,a-TA--- ZIP: 63'34/ <br /> STATE LICENSE: # --1(e 5-?r - <br /> ARCHITECT/ENGINEER: 'D-i:P• PA.isi f Sr& PHONE: L s l- (034- Co(7:391 5 <br /> MAILING ADDRESS: y 1 61'1 1-4).41. PI, CITY: A-a i)'" 14-1 to ZIP: 1 -7NAME: <br /> NAME: D PE.ti-1-rvL✓ REGISTRATION# • <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): (^ J%J A..J -e-� <br /> STORIES: - SQ. FEET OF EACH FLOOR: I t(sS l5' / <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <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 /> 9 <br />