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Total Fee: $ Date Received: <br /> Entered By: Permit#: A-d M-A <br /> ,l <br /> CITY OF ORONO - BUILDING PERA UT 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: 1 too 0ollu Skb26 6R ZIP: 553 64 <br /> NAME OF OWNER: PHONE: (home) <br /> (work) 163- s zS. 09.E b <br /> MAILING ADDRESS: i 1 0o Q6m s i,&b t CITY: RecA mW ZIP: OPP s536 N <br /> CO`-IRACTOR: PHONE:.. qSS c )Z -S`11!' <br /> CONTACT PERSON: 't�Fag OBIL AGER: 612 - s 61,Z6ti6 <br /> MAILING ADDRESS: oS cry i2 d 9 CITY: ZIP: SS3l <br /> STATE LICENSE: # 3 toZZ <br /> 5Lvi�{�� CY�ar� <br /> ARC GINEER: PHONE: <br /> MAILING ADDRESS: - pA Ig CITY: ZIP: Ss�m <br /> REGISTRATION# �f <br /> TYPE OF WORK: New Addition �_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): F&op'T Ptgu)A M !�scS-nu s_(�rri UCTV .,6 <br /> STORIES: ) _ SQ. FEET OF EACH FLOOR: a16 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLIIATED CONSTRUCTION VALUATION (excluding land): $ 1-1 .900 " <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 wiR be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: c�u� �a �,�Qe� DATE: <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 />