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III <br /> ' Total Fee: $ /5-7. `3° Date Received: 8-217-00 <br /> Entered By: Permit#: po Z 7D— <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 ONTRACTO <br /> JOB SITE ADDRESS: (3525 C) jy\) C) (� 02) ZIP: <br /> NAME OF OWNER: t k Cm PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: S w, PHONE:95z-9 3 o-0,'99 <br /> CONTACT PERSON: 'T,,, \ MOBILE/PAGER: 2-757-444n) <br /> MAILING ADDRESS:5/ cl gp, CITY: k ,E.11 ZIP: . <br /> STATE LICENSE: # <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)FT occ �C.A L1 - <br /> STORIES: / SQ. FEET OF EACH FLOOR: -40(,) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 71ou <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 accordanc with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: -�� "On <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 />