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Total Fee: $ S- - -7 Date Received: <br /> Entered By: iZ-iJ Permit #: y/-� t,(/ (� <br /> ` Ic>", 7 9 - `ZGC l <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) cWNER OR CONTRACTOi - or <br /> 1 4D- <br /> JOB SITE ADDRESS: 7L10 0/`G 4 o rc( Pa 4 td( r 4 "Ai ZIP: <br /> C C)'G� <br /> NAME OF OWNER: l (' I a le rbe r PHONE: (horn !/ �c <br /> (work) c1 S"al L, ' <br /> MAILING ADDRESS: )Z/Q d rc 4 r P /'ic kit CITY: o co O . <br /> 4,2 <br /> CONTRACTOR: Lt 3 o r 6-(-1-114-1-11-Qo PHONE: 3)0 3 qty )-S 3 I <br /> CONTACT PERSON: Of AO yc r /Lm,)to t MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ) e s Irr 63( 2,/ ZIP: SS 3S i1 <br /> STATE LICENSE: # N/4 6 r/ � f �� <br /> 02fir- X335 <br /> ARCHITECT/ENGINEER: PHONE: I <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New l/ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): RI( ' 4 e£ ‘'10 X 2 ‘ <br /> STORIES: SQ.FEET OF EACH FLOOR: . Ido <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 ,000 <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: 6A,...N T ‘_/_` DATE: 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 /> 9 <br />