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• Total Fee: $ Date Received: L/Z S- 0 I <br /> Entered By: Permit#: P0- 737' <br /> ' 03737' <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 ORNTRACTOIj.-'-' <br /> JOB SITE ADDRESS: 70 S O io Lri L je '�`I ZIP: S5 3 / <br /> NAME OF OWNER: l i. 6,2.4 a_ is PHONE: (home) 9 5 Z- Y 7 S- i S- <br /> (work)(work) <br /> MAILING ADDRESS: . CITY: ZIP: <br /> CONTRACTOR: t'eJa PHONE: (a(Z- 3 i?o `-7‘, <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: £J(CZ) cycjc i udl CITY: 54 4,5v, p ZIP: S <br /> STATE LICENSE: # ft) S�> <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): 1 ti'DC Ce-rot- sc,ra5 cc (y <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT.. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land): $ (766a <br /> c -c) <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: ; L i l - DATE: Ci-- I <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 />