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mu- <br /> Total Fee: $ :72/0. /3 Date Received: � /03 <br /> Entered By: 641e— Permit #: Z. 76 <br /> AP CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 4 �� All information must be submitted in full before plan review will be started. <br /> �\ (please print all information) <br /> THE APPLICANT IS: (circle one) ( I3)JR CONTRACTOR <br /> JOB SITE ADDRESS: 2.4 D ZIP: S <br /> NAME OF OWNER: \ !\ (, 121 )3 PHONE: (home)CI�"-�Z i5 7 <br /> (work) L 2_ le7j 'W <br /> MAILING ADDRESS: 711-q) WtaDOPcliYb l OCITY: Cs () ZIP: 55 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: _ <br /> MAILING ADDRESS: CITY: ZIP: <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): <br /> -0-POZPee, -�1�2 Vs.t `U�.�- O't'-L O -- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 1"991� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ D <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 acco ince with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ) 03 <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 />