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Total Fee: $ a7a , y3 Date Received: /) - <br /> Entered By: .46- Permit#: ��) <br /> e�/I' 13� F�- L15 a... <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: j <br /> NAME OF OWNER: Mi Ka- A v/-,�I iZ PHONE: (home)4-7(- <br /> (work) 47t-l- Z t-ZE3 <br /> MAILING ADDRESS: c JA {�7, CITY: 0 2oI4 c-> ZIP:5,5 3,5, <br /> Jz Z S 9 <br /> CONTRACTOR: PHONE: Q 74 -�� ,z,� s.tS j <br /> CONTACT PERSON: MOBILE/PAGER: 9L5- 1( ,70 <br /> MAILING ADDRESS: 16�Z(7 CITY: ZIP: ,-2,��3c� <br /> STATE LICENSE: #AI-e-- <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): V l,4 ►'rIE <br /> i <br /> STORIES: / SQ. FEET OF EACH FLOOR: / 00 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1!14 006) <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: ,�L DATE: /00 <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 /> 9 <br />