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4. <br /> . <br /> Total Fee: $ gag-` 56 Date Received: 7 - d <br /> Entered By: .- Permit#:Pa L//Dr <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: / a 80 O rnAJ n d a.kc 4r, ZIP: SSe?J <br /> NAME OF OWNER. `"cs5. - 8'''`',\ H )NE: (home)(KR- 7 73''F 786 <br /> (work) <br /> MAILING ADDRESS: , �-c . CITY: ZIP: <br /> CONTRACTOR: eLtk.d, oa. 4— PHONE: CO id, C 3 7--?5 Y O <br /> CONTACT PERSON: sd 4, 6emALoosctrio(MOBILE/PAGER: el/a 3F y- 7/or <br /> MAULING ADDRESS: / 5d a[ C.o Kr-k- SPL . CITY: (ujtis v;i le ZIP: ,-5-5 3 3 .7 <br /> STATE LICENSE: # (3 L a.oa R4.l 9 <br /> ARCHITECT/ENGINEER: . PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# • <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): " 0.r eD 4.4 .. eg,ff 0$5 c" <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:- GARAGE STALLS: ATT: • DET. . , - - <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): 5 /, r cOV <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ord.I• ',es and codes of the City and with <br /> the State Building Code; that I understand this not . pe and work is not to start without a <br /> permit; and that the work will be in accord wi s elf.roved plan. <br /> APPLICANT'S SIGNATURE i / " DATE: P 1$- 01 <br /> `rte ' -- <br /> NOTE! Parade of Homes events re, ire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />