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Total Fee: $ o . C3 ` Date Received: /O-t - <br /> Entered By: Permit#: K}O 311 <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) CONTRACTOR <br /> JOB SITE ADDRESS: 675" Liz/vCJ,AuA,.c/,cn- 64- ZIP: <br /> NAME OF OWNER: PHONE: (home)e;cZ-y z-7r <br /> (work) a r- <br /> MAILING ADDRESS: 5?-7-5' it/,',,,c)Je,,,,,u4,Lic CITY: r�n} ) <br /> CONTRACTOR: +-opt p `+��{,�� .� 5 kept.-1 c PHONE: C r- 3'- ss 7 <br /> CONTACT PERSON: Lam=; MOBILE/PAGER: <br /> MAILING ADDRESS: 5-.00 Zia' S r. 67. CITY: 41,41)i-oft) ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 57-4.),2-A <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. c' DET.r) <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /BSc — <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 SIGNATURF ='='��•�- a ' io ai /2evo <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 />