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�-- .//5'/i 76 //of( �rkvr #P e 710 l04 ; fti . / - <br /> Total Fee: $ _ /e. ' - ./ • ate Received: <br /> Entered By: P'A 'Permit#: // 7a <br /> r.9►( • <br /> CITY OF ORONO '" -if.. PERMIT APPLICATION <br /> All L_formation must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER ORNTRACTO ewer r- 'a't <br /> JOB SITE ADDRESS: .2--/‘ b/ kii,' . Oil' dlr. ZIP: S c 3( <br /> NAME OF OWNER: L'// /4W4i PHONE: (home)1f7-7"3 <br /> r• <br /> (work) 773 j a `( <br /> MAIL NG ADDRESS: CITY: ZIP: <br /> ZMiczoR.1-eir-- <br /> Li <br /> : Gel, 4bri ,- 0�,4o G"/<,�.� PHONE: 7/7-5-70CONTACT PERSON: , �kk��k''64 ,G,Q MOBILE/PAGER(,OO) f '- 7Y <br /> MAILING ADDRESS: , ,✓ X .2-5—,)- CITY:4 ZIP Say/ <br /> STATE LICENSE: # <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):-?) ix'"ar7 _‘-' d ry i;0-7e, - --., <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 acco d. ce wie a proved plan. <br /> APPLICANT'S SIGNATURE j <br /> �DATE: S/ `/ <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 />