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Total Fee: $ 7/. -15�' Date Received: <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1195-0 F,s /�','�lti � M�c� �I ZIP: SS- 3.S6 <br /> NAMEOF OWNER: M a r'k H e-z , r c k PHONE: (home) <br /> (work) 3,3 S - 96 f s <br /> MAILING ADDRESS: / © * x �',`d r, ��._ CITY:/-,,,,, L-,k e ZIP: ss3 s <br /> CONTRACTOR: e6ed—r-fc,; PHONE: �"g S <br /> CONTACT PERSON: MOBILE/PAGER: s- <br /> MAILING ADDRESS: z q r CITY: ZIP: ss 2 <br /> STATE LICENSE: # r.' ,` 4 1i j-' <br /> ARCHITECT/ENGINEER: /V / W PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSEDWORK (describe in detail): /t k,e ,f r2eu-1-i'l� <br /> / w r�rtT L c)6c, r .i✓ �s✓e v, C 4/�`ne f' Ne ,.✓ rP�,^�u F- iUr <br /> STORIES: Z SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. Z DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / IS xo-c <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: Z - y <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 />