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Feb-2l-�M 11:IBam From-CITY OF ORONO +9522494616 T-771 P.002/003 F-535 <br /> 'Notal Fee: $ �I ) Date Received: 3 ��0� <br /> U-Z Permit#: A'L`' q <br /> ( 3 <br /> Entered By: le � <br /> CITY OF ONO - B UMDING 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 . 4 W 0/ke ea R0� (, eaDv�'^ZIP: S '6 <br /> NAME OF OWNER: _a i PHONE: <br /> (work) <br /> MAILING &DDRESS:�VGA ( �2a CITY: 4j n1 .ZIP- <br /> CONTRACTOR: S 12 n/ lk r'FS –_PHONE: <br /> CONTACT PERSO — IZ4.c e p ) OBII X/PAGER: <br /> MAILING ADDRESS: 1' � LO R =434'k -, <br /> CFCY: c r✓�U�LL ZIP: <br /> STATE LICENSE: # <br /> ARCIIITECT/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(desc 'be in detail): � '2 � � � �` <br /> STORIES: SQ.FEET OF; ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ e7. D �^ <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 s,pprovtA plan. <br /> APPLICANT'S SIGNATURE: t�,J4 e "'`''� DATE- 2 - <br /> NOTE! Parade of FJ'omes events require separate perm�V approval by Police Department and <br /> City Council 60 days prior to the event. Nan permitted events will not be allowed. <br /> r--(^f PI <br />