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Total Fee: $ Z2 • 5 3 Date Received: k -3 -03 <br /> Entered By: iZ/] s' U/g Permit#: fi O(�z ��9 <br /> CITY OF ORONO - BUILDING PERTNUT 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 CONTRACT <br /> JOB SITE ADDRESS: �U �1(iY�rN� IU91jIb ZIP: 'L✓`r <br /> NAME OF OWNER: Q�l�i � , 'I <br /> PHONE: (home) <br /> (work) <br /> NIALLING ADDRESS: I(1� lr �n �� CITY: AN ZIP: <br /> CONTRACTOR: W10m PHONE: ���- Dom-✓� <br /> CONTACT PERSON: NIOBILE/P GER: — I <br /> MAILING ADDRESS: 4400 tr tr CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF `YORK: New <br /> Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): (mG&&O" oy �Pn wo <br /> s ,F <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTL IATED CONSTRUCTION VALUATION (excluding land): $ 16 DOD '6a <br /> I hereby apply for a building, permit and I acknowledge that the information above is complete and <br /> accurate; chat 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 /> perm <br /> -it- ?-nd that the work will be in accordance with the approved plan. L <br /> APPLICANT'S SIGNATURE: DATE: l� ' '3g, —0-4 <br /> NOTE! Parade Qf 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 />