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Total Fee: $ • Date Received: CI- a , <br /> Entered By: Permit#: �- <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 k)efi f>it (l-1- RD D ZIP: .S 3 <br /> NAME OF OWNER: 1�( rZE PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��\ k)C0 -+I L L_ Pm CITY: `'j(1z) NJ O ZIP: -5:S"39 I <br /> I 11 -� L I <br /> CONTRACTOR:l �/`/`.) ,;(2_6 MPA.N fug SHONE <br /> CONTACT PERSON:', f r---/Q Y l.._. MOBILE/PAGER: —44? <br /> MAILING ADDRESS: 1 5 JIto SC, CITY: i -'rt ' ZIP: 5/() c <br /> STATE LICENSE: # ;`J <br /> AT'CHITECT/ENGINEER:/j1 vp` -' 7h.��ry r c ��c PHONE: -,(*) 2 <br /> MAILING ADDRESS: 1,l / Jiu' -T, CITY: r p6-OL ZIP: 1 09 <br /> NAME: DA,/ REGISTRATION# /()33 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> V / <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1 Ali Ai I 1\-/(2( /iv i L-L,l( <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> I0, (o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 i, a ro ed plan. <br /> i <br /> APPLICANT'S SIGNATURE, _ _ '% ( DATE: ,;)29' /()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 />