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Total Fee: $ ("! ► Date Receiv d: <br /> Entered By: —� <br /> Y rcrrrut#: <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 /> ---------------------------------------------------------------------------- ------------- ------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: ✓�eQe� rA,4we lew, ZIP: i;-S 3 g& <br /> NAME OF OWNER: 6;/ey r �/C2O.,i PHONE: (home) 1173 -0333 <br /> (work) <br /> MAILING ADDRESS:SAO 7dlt,/4W /,g RW CITY: <br /> er,�&s ZIP: ,55356 <br /> CONTRACTOR: „ f PHONE: O 1175'/Z 7-9 <br /> CONTACT PERSON: ,acv h �Geeavg,, B /PAGER: j'(,r-yj(,M <br /> MAILING ADDRESS:Isree fdZe t?0/p T3lv�t! CITY: t.,/u,y yZIP: <br /> STATE LICENSE: # 7.25Z- <br /> ARCHITECT NG : LrJ>'4- f3li/� f�/' f PHONE: 4�r/S-' 67Yp <br /> MAILING ADD SS: flow VW Leak, f rme- CITY:Z&1,lac ZIP: S S3S <br /> NAME: REGISTRATION# <br /> �►Z- �lD- 45353 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): e asv� )PeA_ /pi.,1 ,f,�y� dW criih, <br /> G'�J ��► _ ::�;e y` =` 40C 1119 7 FZ:;m o&, -� P&A� 6 t 4v,-)I / life. <br /> I <br /> STORIES: SQ. FEET OF EACH FLOOR: 4-a`,WW = 6 z�� IF. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. — DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �QQ1f <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: DATE:��lZ <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 />