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Total Fee: $ oly , Date Received: --13- <br /> Entered By: R Qj Permit#: f10 i:/ .5 <br /> L <br /> CITY OF ORONO - BUIL ING 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 O1( NTRACTOR <br /> JOB SITE ADDRESS: 10$O (A)I I d h v r 51" -T r- ZIP: 5 S 3l42 T <br /> NAME OF OWNER: e 4-G (Cy S k,u rvt-p PHONE: (home) <br /> 95-2--`� 2 - (a (0 7 -I <br /> (work) 5' `=' S 2-- 89 3 _ O8 6, 5 <br /> MAILING ADDRESS: logo co( (Au r5-+Tr. CITY: 0 r 1.0 ZIP: ,15 3 ea y- <br /> CONTRACTOR: pas k 06 ( rts+ • PHONE: -7(0 3-N -1 I - i 361 3 <br /> CONTACT PERSON: Tom/1 C"( l_S k-o to MOBILE/PAGER: (a t Z - i 5- 9 to C7 <br /> MAILING ADDRESS:2f-,6 p-'c rn ye Au-e .CITY: t.4ed, via ZIP: 5 s-3 <br /> STATE LICENSE: # 3+g <br /> J- <br /> ARCHITECT/ENGINEER: N/N- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration p< Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> --1 n 1 s G, EjZcj- V.) oa..k-6-w+- <br /> STORIES: SQ. FEET OF EACH FLOOR: 12 0 0 <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 / 0-0 0 <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 a -•rdance with the approved plan. <br /> APPLICANT'S SIGNA ' 4014.�, �l yam DATE: <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 />