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t ,4- <br /> Total <br /> 4. Total Fee: $ Date Received: <br /> Entered By: 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 /> THE APPLICANT IS: (circle one) OWNER OFCO T.}TP ACTOR\ -) <br /> JOB SITE ADDRESS: G?Z6 h *LiQ ZIP: 563`? / <br /> NAME OF OWNER: d if1711 -Pt1161.42111. PHONE: (home) <br /> (work)(952-)&0/-,55-403 <br /> MAILING ADDRESS: 64714-e- CITY: _ ZIP: ,---- <br /> CONTRACTOR: 1)1 La l. -r C e--T'P---ot"-�<cam; PHONE: X 12_,1-ztf--62-0 0 <br /> CONTACT PERSON: "-� MOBILE/PAGER: 7 ) `r ,€-L/347 <br /> MAILING ADDRESS: 557( i/ 4✓ CITY: /I4P45 ZIP: co/7 <br /> STATE LICENSE: # 2..v3 33.3 2--k--- <br /> ARCHITECT/ENGINEER: <br /> 4ARCHITECT/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): 44e- MAJ�e 14//7/ d/071 <br /> /AJ -Ezr fifth Do`✓S , 72k21-4(--F 1I4)c' /Ai ✓e{TC. ii/ h// *n L✓igno i <br /> STORIES: - SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: -3 GARAGE STALLS: ATT. 2 DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i 9,3W" <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 ac , dance w.th the approved plan. <br /> APPLICANT'S SIGNATURE: /r � DATE: Z4 3 <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 />