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a- <br /> Total Fee: $ - 2 ' / Date Received: <br /> Entered By: Permit#: /C%u' <br /> CIT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: ,52)0 (>0y)0 vr�c�i�. (J ZIP: <br /> NAME OF OWNER: .5-7eY� %h PHONE: (home) >7J /4'c'e <br /> (work) <br /> MAILING ADDRESS: ( t OrtZt eekCITY: avAt, ZIP: <br /> CONTRACTOR: /1n,, 4,,/4.3- PHONE: 4c:7/-DJC D <br /> CONTACT PERSON: ,jd , l7•, I+c - MOBILE/PAGER: ff --s 76 y <br /> MAILING ADDRESS: /9D. /f ox 9/Z///S CITY: ZIP: <br /> STATE LICENSE: # auo 6 Z 3►o <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): //,:;'f/ ,� �,, �„ t hat. <br /> /1 e�r l s- c a �/ "A/c/r t I w det-> <br /> STORIES: SQ. FEET OF EACH FLOOR: // . <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /D, 0 • <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: f P DATE: 3-/e) <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 />