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,41 <br /> Total Fee: $ 004 t 94 .2 ' DateReceived: <br /> Date Approved: <br /> Entered By: Permit#: /a y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /4/Q /L7k G 1 icJ ZIP: .55 ,JZ. <br /> NAME OF OWNER: �/'�G1/1���/ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> ZcZO <br /> y4— MOW <br /> CONTRACTOR fv6(r,‘/ -r ikrOe 'f g-ii� PHONE: giirrOgra4443elie <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: 6z,e J/ 1c 2) a CITY: a ZIP: ""3 e/,‘ <br /> STATE LICENSE: # 0 <br /> ARCHITECT/ENGINEER: ao-i 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 indetail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /( spa <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> L /�1 '✓- a'�' `� <br /> APPLICANT'S SIGNATURE: �„- 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 /> 9 <br />