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Total Fee: $ ,r-c; (J5 / qE� Date Received: (., 7 A/ <br /> Emtered By: Permit #: <br /> 1-7r6c b- (3-c ) <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 O CON-TRACTOR <br /> JOB SITE ADDRESS: L+14 (5( 1 Gil.low t/few ZIP: <br /> NAME OF OWNER: K_ J C. }C e. S PHONE: (home) -03-- 6 7 a ) <br /> (work) <br /> MAILING ADDRESS: 155(Dv (, , z�ha.1 lvri CITY:I,.r.�.- y� ZIP: <br /> S� ie 1 oo3 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: K ict< ova P N MOBILE/PAGER: <br /> MAILING ADDRESS: t3 So ( z za IS l L,c4 CITY: j„ ..i ,,` ZIP: 55�� J <br /> STATE LICENSE: # 1e ;W3 <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): (- c,S i )c F a N eL, <br /> STORIES: SQ.FEET OF EACH FLOOR: 1-2 5(3 <br /> NO. OF BEDROOMS: 3 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: 10 DATE: 6/6 /0 <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 />