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I <br /> Total Fee: $ 7/ Date Received:- a • `JS <br /> Entered By: cuu , Permit#: 'O/ 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 /> THE APPLICANT IS: (circle one) OWNER O ,CONTRACTOR <br /> JOB SITE ADDRESS: OO w001 h :11 Jt� • ZIP: S Sr-3 <br /> NAME OF OWNER: ti✓i'dil li C o1 r� G/v.4 PHONE: (home) <br /> C '�:cl; �,-, lr:�ks�� (work) 73 S. ii <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 6,--./Lk: S• hS PHONE: S--S7' .8111? <br /> CONTACT PERSON: �� c, MOBILE/PAGER: S <br /> MAILING ADDRESS: ' (CO'1c^ 1 )Q/ CITY: 1174,1,_,L &,Y'- ZIP: JJ <br /> STATE LICENSE: # 203 ( <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure 1 <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): a M ,ss 2.2 X / V <br /> STORIES: / SQ. FEET OF EACH FLOOR: a c'° f /- <br /> NO. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 0, cc 0. <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 accordanc- with the approved plan. / / <br /> APPLICANT'S SIGNATURE: t , 7 DATE: y(.2...//U <br /> u <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 />