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Total Fee: $ //'S i Q3 Date Received: lb 19 <br /> Entered By: Permit#: 3/Z/� <br /> h. <br /> ceabei Io- -ems 7 Z/ <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 OW6NTRACTO <br /> JOB SITE ADDRESS: ) f �y-I ► i L '_ ZIP: <br /> NAME OF OWNER: 2 (/()LLL(A 6v1 IIl��tom►OE PHONE: (home) <br /> 1 (work) <br /> MAILING ADDRESS: 3 5 (jJdd! --I t DC__ CITY: )( e (..)0 ZIP: <br /> CONTRACTOR: 0IiD L CO is Ti c PHONE: : 5 l 4WZ —OzO<T <br /> CONTACT PERSON: N) MOBILE/PAGER: (0 1 Z — 44Z( <br /> MAILING ADDRESS:j i 75 //(L CITY: - t_ ZIP: Ss l.ef)9 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:T1p c 1 ti PHONE: �5[ <br /> MAILING ADDRESS: 117 f-{OJ' _3 CITY: ZIP: s s <9 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 2 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z uU )Z� <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 . t - p• • ed plan. <br /> APPLICANT'S SIGNAT '1 : 'Art /, DATE: 10// J fl <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 />