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Total Fee: $ Date Received: <br /> Entered By: /' Permit#: 9C30 <br /> j() <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 010NTRAC <br /> JOB SITE ADDRESS: _S9 5 cL r cJ gr d Pq r /c"Rd ZIP: �.6.3..5 (o <br /> NAME OF OWNER: Donne 11 12. PHONE: (home) v7/, -/,,v / <br /> (work) <br /> MAILING ADDRESS: X85" ore 4 g r c TY: or o✓i p ZIP: <br /> CONTRACTOR: P n la c rq^11 f PHONE: 7,2)-/ G a k <br /> CONTACT PERSON: jq 4y MOBILE/PAGER: <br /> MAILING ADDRESS: 3// So e//n4 ITY: ,W/s _ ZIP: _515-4/0.. <br /> STATE LICENSE: # 7 5 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration A' Land Alteration <br /> PROPOSED WORK(describe in detail): 5,`cL- ,C, os,e. J%?O l _ `K„\ <br /> ddz,.JS fdool`� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1/) 9.5 9 <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: A/7 DATE: 3 D -9 7 <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 />