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Total Fee: $ 3 ) , 3'/ Date Received: /:--,- ; <br /> Entered By: c6 Permit#: a22/3 <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) OWNOR CONTRACTOR <br /> JOB SITE ADDRESS: -L 1 e r v)11 ar C)P C.4 AC LE ZIP: �53.1,c' <br /> NAME OF OWNER: pp pp --T PHONE: (home) 4-1 ',-2s -54, <br /> (work) 5 4-O-Zi <br /> MAILING ADDRESS: .fl9 o �, -1-c p�.C. CITY: i✓o Ki L, 1-AtC.0 ZIP:1535(j <br /> I (A✓--c-t.. <br /> CONTRACTOR: e-.-.2. -- CE )S- cL''("(0►, PHONE: 4cc, -`/e3 <br /> CONTACT PERSON: ,,,,.,_.. A .1j :_ MOBILE/PAGER: 1 -515 <br /> MAILING ADDRESS: SC GC ' a ` CITY: (.o ZIP: 9 2J 7 <br /> STATE LICENSE: # kJ A , <br /> ARCHITECT/ENGINEER: k A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: 4 REGISTRATION# <br /> Addition Accessory OF WORK: New Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Z4x-372, <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: —7(c <br /> NO. OF BEDROOMS: C GARAGE STALLS: ATT. DET. i/ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (5 Q <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 /> riAPPLICANT'S SIGNATURE: .. 149 DATE: 4' 11 1 11 <br /> NOTE! Parade of Homes events require separate permit approval by Police epartment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />