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• <br /> • Total Fee: $ Date Received: t/// / S, <br /> Entered By: Permit#: /10/2 <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 onej) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: j ,Cc) (�)�t,�� �(-12-. ZIP: Sj<a`r / <br /> NAME OF OWNER: 4T--a r-� C ) r r I PHONE: (home) 4/7/--1/ 71,0 <br /> (work)t/73 4).7 I(- <br /> MAILING ADDRESS: : S 0 ()/'th C .i CITY: Or -6, ZIP: <br /> 5r <br /> CONTRACTOR: (2 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure vim. / %2 <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1214 Inlr'nq A C/e <br /> STORIES: / SQ. FEET OF EACH FLOOR: ,)q X A'Y <br /> NO. OF BEDROOMS: ; GARAGE STALLS: ATT. 014. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 0 000 <br /> s <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 accopdance with the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> •L 1 <br /> _ tDATE: /61 -,:""17' -% / <br /> NOTE! Parade of Homes events requir 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 />