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1 4L <br /> Total Fee: $ S7, --:? C' Date Received: /a -0 a. <br /> Entered By: 450,x2_ Permit#: ?OS CoO�— <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: 1lgO Gt1ye,,'� � ZIP: �553g� <br /> NAME OF OWNER: IOUfl :SAA —kiii.� PHONE: (home)_f Y3y8 <br /> (work) <br /> MAILING ADDRESS: -56jA-f— CITY: ZIPC55,39 <br /> CONTRACTOR: �� PHONE: 3 -Sy/^d3o(/ <br /> CONTACT PERSON: 4Mc OBILE/PAGER: Q to <br /> MAILING ADDRESS: d:xn CITY: p_ /TA 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): �^© • Aenm P <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.. <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 with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> � ' - <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 />