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Total Fee: $ 577.- 0 0 Date Received: ,Cr 5-'11 <br /> Entered By: Permit#: /13(61 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (ple rint all inf n) <br /> yt---6/ ane a tIV <br /> THE APPLICANT IS: (circle one) OWNER 01 TRACTO <br /> JOB SITE ADDRESS: / ,� ,/ 3 O 1: <<j —c3 7 <br /> NAME OF OWNER: /(7-791 C 6 L 1t/ c L _ /_ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 1/ 3 C) CITY: � � ZIP: c2 7/ <br /> CONTRACTOR: 1/EA /G gi'12 C PHONE: / 2 /2q._5-3 5—3 <br /> CONTACT PERSON: j12,,7 1 MOBILE/PAG„EA: j ‘3/// 2 <br /> MAILING ADDRESS: 7 7,1 f CITY: g /2/1/7`i' ZIP: Sc� 1-C.D <br /> STATE LICENSE: # <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): �,,,�•---e _ <br /> STORIES: 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: 0_ _j , 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 />