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I 'Total Fee: $ 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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /6'6 O ZJ F-/frre/-tr k ZIP: <br /> NAME OF OWNER: ‘j C . O .Leu vl tc, J .Shu l t PHONE: (home) 3"C $Ji <br /> (work) <br /> MAILING ADDRESS: 112S SCY- o lin J I , CITY: c�act2 a'a ZIP: 5 S 3q <br /> CONTRACTOR: S-1 J.z- c. �/- c 2 n <br /> s �rr'r-ti �- PHONE: ` �0' <br /> CONTACT PERSON: MOBILE/PAGER: 7 <br /> MAILING ADDRESS: 7 i i'.2 / CITY: -7.-7, ZIP: Sri?S' <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 V Land Alteration <br /> PROPOSED WORK(describe in detail): 711 r,T <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ G>9 6 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: lC A k J. Shc 1 I DATE: If tc Q 7 <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 />