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Cj ✓' ('Total Fee: $ 510 3 i.,` 1 -1 ,Date Received: f � (r• Entered By: �", r Permit#: CI/S/ o <br /> 7r,� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> r0°) (please print all information) <br /> THE APPLICANT IS: 4,_ (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �S Orono Orcltaw.1 ecv ZIP: <br /> NAME OF OWNER: Jed 4-iq0,,,m5 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: Ye an (O4 f. PHONE: 7L?- yc(-53-,3 <br /> CONTACT PERSON: T e MOBILE/PAGER: 6,/a - 36c- <br /> MAILING ADDRESS: j774.11 U�,' ,..s.� 't,C CITY: 5� ,f ZIP: 55oYo <br /> STATE LICENSE: # 3404 <br /> ARCHITECT/ENGINEER: M 004,/d 4.///gck PHONE: G O • 3C([- Flo 5/ <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): ,4d“ (3-0 Ke_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 026),Q0p <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 /> PLICANT'S SIGNATURE:0 7 i i. DATE: T/1,03 <br /> 03 <br /> rE! Parade of Homes even s e•uire separate permit approval by Police Department and <br /> Council 60 days prior to the event. Non permitted events will not be allowed. <br />