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Total Fee: S 9,(1A`()1 Date Received: <br /> Date Approved: <br /> Entered By: Permit#: i'((/I <br /> CITY OF ORONO - BUILDNG PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAIN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OW OR CONTRACTOR <br /> JOB SITE ADDRESS: ‘.,ZS d/Od Com Zcr,, Fd ZIP: .5-25-39/ <br /> NAME OF OWNER: r''7 C9 (lar k PHONE: (home) 473-zS <br /> (work) <br /> MAILING ADDRESS: ,}''Y? L'— CITY: ZIP: <br /> CONTRACTOR: "f../` 4PHONE: <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ////1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> r <br /> PROPOSE 'WORK(describeindetail): /� "6" �` ' •- ayvi back <br /> ( Qcq <br /> STORIES: / . FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: ,/ GARAGE STALLS: ATT. / DET. <br /> ESTI\IATED CONSTRUCTION VALUATION(excluding land): $ 1.374r <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 . • - :- 1. .ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ill �► _1---- 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 />