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Total Fee: $ OfUf.aS <br />Entered By: <br />Date Received: 7/ 3/-Q O <br />Pfennit#: <br />CITY OF ORONO - BUILDING PERMIT APPUCAHON <br />AH information must be submitted in full before plan review will be started. <br />(please print all irtformation) <br />'s <br />the APPUCANT IS: (circle one) (^DWNE^R CONTRACTOR <br />JOBSITC ADDRESS: StlOl U>q|-t^K ftvf/_vi.7.IP: _SS3J ! <br />NAME OF OWNER: Uj/7l/a>h I^Sgwdm K"fgC|Qyv PHONE: (home) ^7h7%) <br />\ 7\ ^ (work) ______ <br />MAILING ADDRESS: UJo)-Krj CITY: £tcct)s lor TIP: 5S33! <br />CONTRACTOR: <br />CONTACT PERSON: <br />PHONE: <br />MAILING ADDRESS: <br />STATE LICENSE: # <br />MOBILE/PAGER; <br />CITY:ZIP: <br />ARCHITECT/ENGINEER: <br />MAILING ADDRESS:___ <br />NAME: <br />PHONE: <br />CITY:ZIP: <br />REGISTRATION# <br />•nTEOFWORK: New <br />Move <br />Addition y <br />Remodel/Alteration <br />Accessory Structure <br />Land Alteration <br />PROPOSED WORK (describe in detail): niA crffarh^d111! <br />STORIES: I SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS:GARAGE STALLS: ATT. 2^ DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ SS.tSOQ <br />I hereby apply for a budding 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 die Ci^ and with <br />the State Building Code; that I understand this is not a permit and woric is to start widimit a <br />permit; and that the work will be in accordance with the approved plan. <br />APPLICANT'S SIGNATURE : — DATE: j/s/Z^OOt <br />NOTEI Forodi of Hiunu events require separate pirmit ap^val fy FaUee Department and <br />City Council 60 days prior to the event. Nan-permitted events wiU not be allowed.