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Total Fee: $ fig,• 7 Date Received: /y- 77 <br /> Edtered By: r'YI Permit#: //6',25- <br /> CITY <br /> /6' 5CITY 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: (2 s d k"v ex) ZIP: SS 35 1 <br /> NAME OF OWNER: Nt' 13c y PHONE: (home) y 74, - o7v//y <br /> (work) <br /> MAILING ADDRESS: 02 4)-4 S L „cSt 1.►R v c CITY: c.9,0 4.)d ZIP: 5"5 3< I <br /> • <br /> CONTRACTOR: i'C 5 Lc,urs crS ,1/4)'3 T c_ PHONE: L-1.1 to 1 <br /> CONTACT PERSON: i3 Lc. rs MOBILE/PAGER: 65'q- <br /> MAILING ADDRESS: 3 3 z L.v P CITY: r-t r di,- ,i, ZIP: S 3<-10 <br /> STATE LICENSE: # / 70 / T-+ <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): A2 0« /44'0 /e. 17/.,4( . <br /> 4 5 . . r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. • <br /> ESTLMATED CONSTRUCTION VALUATION (excluding land): $ S-VOU <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: 1.A 110/4,-- DATE: 6- /`� 5'1 <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 />