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Total Fee: $ Date Received: <br /> • Entered By: Permit#: <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) R 0R CONTRACTOR <br /> JOB SITE ADDRESS: 7110 0 ry 4 cr t) 62 EA} RoPacd,Jd ZIP: Sic 3-5--( <br /> NAME OF OWNER: g())6/0 J e b e r PHONE: (home) <br /> / (work) 94-a. ( 2,6 g 133 <br /> MAILING ADDRESS: )y0 D raha AfJ2 CITY: p rc,vd ZIP: SS3 S-I <br /> CONTRACTOR: c-c IF PHONE: 9Q— Lj) ( c?-6./ ( <br /> CONTACT PERSON: S`jf l MOBILE/PAGER: <br /> MAILING ADDRESS:7140 0,rciI)4 'J Orel( Rd CITY: d roA)d ZIP: SS,35—.‘ <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure V <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): iQe /& „. 0101 . �1 r 4 74,4,1/4. a) <br /> Nt�J a�l1? 1 U <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Sado <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 w' the approved plan. <br /> APPLICANT'S SIGNATURE: og✓�0--- DATE: I 9 D J <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 />