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R <br /> Total Fee: $ c` 3 Date Received: t-9 G <br /> Entered By: Permit#: jJ?q <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 O CONTRACTO <br /> JOB SITE ADDRESS: ZIP: <br /> NAME OF OWNER: 1 �{'�l Wb PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: Gbales J_PHONE: q7-q-- Yi9 <br /> CONTACT PERSON: e-y— Ss E/PAGER: <br /> MAILING ADDRESS: 33&y 62dnam u.e, CITY: IP:�, r <br /> STATE LICENSE: #14?2— <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): v ar- t 0,5mlk tc, <br /> Gti►aWA► baa &&d <br /> STORIES: L SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: I _ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4n, Jnp . on <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 accord with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> f <br /> NOTE! Parade g-f 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 /> 6 <br />