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� <br /> � Total Fee: $ /� 7� a � Date Received: �' � —q � <br /> Entered By: ,Q� Permit#: �'95,� <br /> CITY OF ORONO - BUII.DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all_ ' rmation) <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � D �� (.o M A l.r�10 A Q v� Z�: �,6`3�`� <br /> NAME OF OWNER: R6f3ECtT �rl CJ E fZso N PHONE: (home) �1� ��� l�Z� <br /> (work) <br /> MAII.ING ADDRESS: I U34� t,aMn► L��►nA A v c CITY: oRar�o Z�: S" 3 l � <br /> CONTRACTOR: SE L� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER:� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure ✓ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: TU T i U� l.CJ A S�Gor�10 ��� 12 1(�t C.1S <br /> A S '�E R ��K E i c.�-1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION(excluding land): $ ��3U ` <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 ac rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: . ifJ�� DATE: l ��� <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 /> 9 <br />