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Total Fee: $ ��5 �S Date Received: q-7-0 <br /> Entered By: DA41t, Permit#: �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: 112-0 No P-T N &hM6 .09, W. ZIP: 6-53(a y <br /> NAME OF OWNER: yJA� LIZ PHONE: (home) 1/ 2—,g2Z.,723o <br /> (work) WZ- 9b3 -(cl3Z <br /> MAILINGADDRESS: 16-LO 064UY -6 oPe ®(,,CITY: Mov-&)ip ZIP:`553�y <br /> wcsT <br /> CONTRACTOR: C ktt, PHONE: <br /> CONTACT PERSON: Im-y-K.6 Ag*0 MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 6C <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): 5WA ®a-& ado�S <br /> STORIES: c`t SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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: ?` 7-0 <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 />