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r 1Tota1 Fee: $ Date Received: \C <br /> Entered By: Permit#: � <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 R CONTRACTOR <br /> JOB SITE ADDRESS: ,S-15-0 Q ccs 0 (9k:AcriciRr,) ZIP: <br /> NAME OF OWNER: iI cAe_}1-e. 4.1,1..1 n a.,r/,>/) PHONE: (home) 95-2-4/7L/_is s 5-- <br /> (work) <br /> MAILING ADDRESS: cr0 6Voil o Orchaio/6/ CITY: Ifo ita ZIP: <br /> CONTRACTOR: VrU4}sl Ro4"- n5 LS,c1 i✓15 PHONE: 763- ?Z s- 9z3 0 <br /> CONTACT PERSON: a c_<- MOBILE/PAGER: <br /> MAILING ADDRESS: 93o 7 /7//7/s-/0 A CITY: C'4G.,ri0. ZIP: ss V 6 <br /> STATE LICENSE: # Zso/ <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): 7/"Wlift f --,/c�7 , -', : 4 <br /> WiGLfiti5 a,ra5_e - ZQ S <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 `(ms ), `2-- <br /> I <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 ith the approved plan. <br /> APPLICANT'S SIGNA '1 : "i. / " DATE: 7/HGV <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 />