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Total Fee: $ X113 0 Date Received: - <br /> Entered By: + Permit#: /o C./ 5-3 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 /> --------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: S-a �Jc /0 w ZIP: S 5 S <br /> NAME OF OWNER: f.J� �� ��Io i w��, PHONE: (home) -1-77 3- S / '7'( <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: 5-5-3S'C-P <br /> CONTRACTOR: Ct PHONE: - -f 7 1 <br /> CONTACT PERSO : V(6,�, OBILE/PAGER 6 •2 - $) 7 -053 0 <br /> MAILING ADDRESS: / r- CITY: ZIP: <br /> STATE LICENSE: # ;:�p«s` /?y <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): ( re, r'c <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �24 -7y o <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: LU-.)-S - <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 />