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w- <br /> J � <br /> � Total Fee: $ t O. 3 Date Received: �-�5-4�' <br /> Entered By: Permit#: (�(pQ <br /> CITY OF ORONO - BUILDING PERNIIT 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 CONTRACTO <br /> JOB SITE ADDRESS: 131�'l Na�TN /-��rn �R , ZIP: SS 3(o y <br /> NAME OF OWNER: L� ��a T���se r PHONE: (home) �2-�f 7 Z—��7� <br /> (work) <br /> MAILING ADDRESS: �a-w�e CITY: ZIP: <br /> CONTRACTOR: �a(•-�-y �az��e�•� lil�.�.7erpruo�a�PHONE:_ ej'SZ �7(�r-1 (�i 0 I <br /> CONTACT PERSON: �(,jl c.{C ��-<<�'.� M BILE�PAGER: to I 2-7 S�--�rt `f 0 <br /> MAILING ADDRESS: 2$0 �o.O�arw Qr��,-.i {� CITY: W�7�a.�.e ZIP: SS 3�/ <br /> � <br /> STATE LICENSE: # N <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI1'Y: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition�_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: W�¢� � nepz i�r <br /> �r��'���.� � C4r� �'(1 s'` s'��"ac-�l:,�a-. � c...r�.( S T - <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ e2 D, 00 0� <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: �/Zs'�D Z <br /> , <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 />