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q <br /> Total Fee: $ Date Received: 0 7 r <br /> Entered By: Permit#: /D(oa <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (ple a nt a formation) <br /> t r' <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /56 /Udlt�l cJ�j 13!G C- k(/ ZIP: <br /> NAME OF OWNER: (% t/�ot4 PHONE: Shom ) <br /> �/ (work) Z/ d <br /> MAILING ADDRESS: 7dO !—aaO lof + ///CITY: f/ �A-r, Zile:— <br /> CONTRACTOIG* j,a/✓ i;PHONE:� � U��d <br /> CONTACT PERSON: MOBILE/PAG << � <br /> MAILING ADDRESS: A v— CITY: of ZIP: <br /> STATE LICENSE: # 02 d16, <br /> ARCHITECT/ENGINEER: Q'Scz,/l A*g D(E-17N PHONE- <br /> MAILING ADDRESS: u U1r .l�vCITY: j✓ ZIP: <br /> NAME: '�'i/y1 REGISTRATION# <br /> TYPE OF WORK: New X— Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ.FEET OF EACH FLOOR: ace <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. D t <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �iy Q <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 w" the ordinances and codes of the City and with <br /> the State Building Code; that I understand not a t and work is not to sta without a <br /> permit; and that the work will be in ac ! a roved plan. W14,111 <br /> APPLICANT'S SIGNATURE: DATE: <br /> 444 4AX <br /> -s <br /> NOTE! Parade Qf 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 />