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� Total Fee: $ a�(o�j. �p I Date Received: <br /> � Entered By: �,Q� Permit#: � ��t,� <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 O CONTRACTOR � <br /> � /� <br /> JOB SITE ADDRESS: /S �� �c ocf s �7- �CD ZIP: _5.5�� � L <br /> NAME OF OWNER: ��r� /� �1 c K PHONE: (home) <br /> (work) <br /> MAII.ING ADDRESS: /.5��0 �,�N s �t' ,Po CITY: 1�Ay� ZIP: �-5391 <br /> CONTRACTOR: ���Q /-�Md I�ic. PHONE: �7�-3.33v <br /> CONTACT PERSON: ,,�aN � MOBII.E/PAGER: .��� - 7'� �,y <br /> MAILING ADDRESS: �oi F �a� sr. CITY: �/qy�rA ZIP: ,��39 1 <br /> STATE LICENSE: #�a� 7 yo;j <br /> ��SiGo.►�� <br /> � iC�r�r'NY d�L.�XR�1D�� PHONE: �}73 - �'1'7'7 <br /> MAILING ADDRESS: �01 �. �AKE s'r. CITY: ;�i�y-z�rA ZIP: ss I <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detai�: (2�,�,pc-� K.;-rc.i-h�.--7J� '�M �n�► A-ni.D <br /> �IA�� b�2ao�I <br /> STORIES: ,��--= SQ. FEET OF EACH FLOOR: ��"� ���X <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (exclud.ing land): $ �O c�, o c� , � <br /> —� <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 Ciry and with <br /> � the State Building Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in ac dance 'th the proved plan. <br /> �' APPLICANT'S SIGNATURE: DATE: 21Y � <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 /> � 5 <br />