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Total Fee: $ lA 12- ` ( Date Received: f�� S 5300 <br /> Entered By: ,( �\ p\ Permit#: 7/d--/n <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) OWNS)OR CONTRACTOR <br /> JOB SITE ADDRESS: 7i--10 rj, P6,P k ZIP: cc S5 6 <br /> NAME OF OWNER: p r) 3 Mes Qpp p r PHONE: (home) qc) (j) 6' a0/6 <br /> (work) Cl S'.1 Vl16 a o <br /> MAILING ADDRESS: -71-10 0 rc t,a r 1 Jac,r/1 RS CITY: a r 0 ,4)d ZIP: cc 35" <br /> CONTRACTOR: Se f PHONE: Qc Z 4) 6 a-Q/ <br /> CONTACT PERSON: / f cGN �rr�o'; MOBILE/PAGER: <br /> MAILING ADDRESS: -)110 o r..kr 1 RJ CITY: Q r;,a e ZIP: .51c3 -6. <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:fl,t'IC(c c4dl TfuSSfi PHONE: 76SSti1 1Dd0 <br /> MAILING ADDRESS: ,-},,, .,,A Su,-te Soo CITY: /11 tit{,,pal is ZIP: SS441 <br /> NAME: )51.1c <br /> ,j riW Y by REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure 1. <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 6 n x 3(, e <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 16.000 <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: 10 J DATE: <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 /> 5 <br />