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Total Fee: $ /a25e , -?3 Date Received: � C <br /> Entered By: i? ,S Permit #: <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: S53� <br /> NAME OF OWNER:-� -�J L -Q_ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: pQo,._,o ZIP: s53cc� <br /> CONTRACTOR: L Lc- PHONE: �1 S Z-5�►� -(og�c� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: (oB3o-wwtujr u,j-aj A�tz- S CITY: Sbzp� t Pnn,R,L: ZIP: m,J <br /> STATE LICENSE: # Z0m crj Wcj <br /> ARCHITECT/ENGINEER:_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition X Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> 1n1 �c`�nooZ ��S-r,r�c..(„4czgc.� �, �,g,r►r�.,� <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: - GARAGE STALLS: ATT. �(_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Co�k�cp°6 <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 ith the approved plan. <br /> APPLICANT'S SIGNATURE: cy�- DATE: --:9E17 S -ZZ-o3 <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 /> 9 <br />