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Total Fee: $ 45-, '`/`S Date Received: 3 - _ 0 0 <br /> Entered By: z 1. Permit#: {10,2/;3 <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: ,OQ' Uot77 (Q.e-; A 2IP: J�� )e: <br /> 6 <br /> NAME OF OWNER: �Y�� D6-,4E 4)/2(//,,./ PHONE: (home) (7 –y6yO <br /> (work) Li-7_6 .33 - „U'' <br /> MAILING ADDRESS: ,¢ ol/f CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 Land Alteration <br /> PROPOSED WORK(describe in detail): r, _ :,t / <br /> 71-40 oAiocie 4.4.7-22a310 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ),;00 <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: 4 ‘44 i,44/ DATE: .- —yejf <br /> G <br /> NOTE! Parade Qf Homes events require separate per‘approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />