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Total Fee: $ f:/X 7? DateReceived: <br /> Date Approved: <br /> Entered By: Permit#: 2i2`I`% <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SIJBMI 1'ED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one OWNER O ` CONTRACTOR <br /> JOB SITE ADDRESS: 45-;?(-) to. g frkyl L -P)d frnA►id ZIP: S-53C-,4 <br /> NAME OF OWNER: r(1ieti API 4-I)Ac 4-I) resp &as-Ev w PHONE: (home) 4 7z- <br /> (work) <br /> -(work) 51/- 3372 Ttdte./ <br /> MAILING ADDRESS: 45A0 O. /2c4 CITY: ma,,,n d ZIP: S 36,t/ <br /> CONTRACTOR: AJ A PHONE: <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: N PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New )( Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe indetail): . , -1, .. . -eP <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: 19 Z- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLVIATED CONSTRUCTION VALUATION(excluding land): $ Lr 6o-- <br /> I <br /> D--I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work <br /> /J will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: .�i'-tom C f -- DATE: -o?'� <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 />