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ToW Fee: $ Date Received: <br /> • Entered By: ( j 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 informatio <br /> THE"APPLICANT IS: (circle one) OWNER R.CONTRACTOR�_- <br /> JOB SITE ADDRESS: 23 3 ,Ivy i d G,- 27 ZIP: 6 6 <br /> NAME OF OWNER: m pf (AF_ FCrr-LL,4-_, PHONE: (home) <br /> (work) <br /> MA,ILINGADDRESS: 72 jvot.;V.& F !LZ CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: T n• (.IF.qF&AA- MOBILE/PAGER: <br /> MAILING ADDRESS:_ 5-02 t l K- T Ct.4�S_ CITY: rYO 1,S ZIP: <br /> STATE LICENSE: # 4.1 Kr-) <br /> ARCHITECT/ENGINEER: PHONE: <br /> MA LING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORD: New Addition Accessory Structure <br /> Move Remodel/Alteration V Land Alteration <br /> PROPOSED WORK(describe in detail): T5.41— 6jEj: 4 cvo,= j- 2e � ck-,r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 , 3 W•aa <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 b in accordance with the approved plan: <br /> APPLICANT'S SIGNATURE: DATE: Ig Lt Ci� <br /> NOTE! Parade Q_ Homes ev s 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 />