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Total Fee: $ (0 33 • D 3 J Date Received: „ <br /> (3 <br /> Entered By: , w 1 ? 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRALTO <br /> JOB SITE ADDRESS: f 33 Tom fel Wil ZIP: S~S 3 9 1 <br /> NAME OF OWNER: ^4 0,s� PHONE: (home) R$Z-4 7/-31&7 <br /> (work) <br /> MAILING ADDRESS: 131 S CITY: ZIP: 5'93 91 <br /> CONTRACTOR: PHONE: c�SZ -4 73— ''435- <br /> CONTACT PERSON: Zy l MOBILE/P i t: 6/2 -5'°19-7q o� <br /> MAILING ADDRESS: dXATY: <br /> STATE LICENSE: # 37A t <br /> s <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New VI" Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): :5 1 A-'-(,E /-U^t k-y ,4-.A,=- <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: 3 X7G///7/o / `>G o <br /> NO. OF BEDROOMS: �1 _ GARAGE STALLS: ATT. y DET. o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (9�l om- <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 acc nce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 7-13—� <br /> NOTE! Parade of Homes event equire separate permit approval by Police Depart <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />