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Total Fee: $ Date Received: <br /> Entered By: - Permit#: `4 ((p 9g <br /> C,U�,r-11-4 <br /> CITY OF ORONO - BIIDE14a PERNIIT 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: XZAT.4 Pd Wb. ZIP: 5 15 U <br /> Al CSS 7- <br /> NAME <br /> NAME OF OWNER: O140AJo S DS 5EDklto� PHONE: (home) <br /> i C—t-C— (work) 7 cP 3 . 3 7 7. 7 59'70 <br /> MAILING ADDRESS: CITY: ZII': <br /> CONTRACTOR: FftAI,JA I" od>NS� tI A/C . PHONE:_ 95Z X135'- $6000 <br /> CONTACTPERSON: ZDAN PA,//t.-.0 MOBILE/ t: (Q/Z ip - IS ZLP <br /> MAILING ADDRESS: G 33 5ool-JD Al%/�.So. CITY: F- -aplLi,vs ZIP: S9-3 <br /> STATE LICENSE: # -7(0 Z Q <br /> ARCHITECT/ENGINEER: M 4W 9 AfZl4+17;1S PHONE: to l Z 3 3 2 ZO <br /> MAILING ADDRESS: Moi r- ,&%,v n Fo2NE AVE.CITY:MtNNEASZIP: $' O 3 <br /> NAME: M 1 C H A et N et -S oty REGISTRATION# I (o,3 R O <br /> TYPE OF WORK: New %_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(des ribe in detail): 2. tj 3 `row-Y ,4��A�,r-M,E-�•tr' <br /> �Ul LT.�/N C9 s`l 6r-At�iEcC. , sum t '��r-��5� �►L;iT u,T-7ayc Cit\L-i) <br /> STORIES: Z ! 3 SQ. FEET OF EACH FLOOR: �l,OgO <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. Z 0 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,100,000. 40 <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: <br /> /,Z/09S`01 <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 />