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,+ t <br /> Total Fee: $ 't / ?7_1;.- 7S- Date Received: q- ,,s'—U--)— <br /> Entered By: Ofy _- Permit#: /0 5( "-0 <br /> ' `� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> eLL <br /> �; All information must be submitted in full before plan review will be started. <br /> 4\ 1 •/ (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /age) a/r/o 115T ZIP: SI-24,V <br /> NAME OF OWNER: �ysi,{�ir'/i PHONE: (home)</72-6 77 <br /> (work) <br /> MAILING ADDRESS: CITY: I7p ZIP: <br /> `' .t4 \ �(-'(krill-( or- Cf 4-k St. 1-,,c <br /> • <br /> h ICY u c CONTRACTOR: '.Z € 4?h2) PHONE: �/��f�S 7S// <br /> 1` CONTACT PERSON: e, X MOBILE/PAGER: ,/„.2.--g-4, -- }'cj/ <br /> � d1J MAILING ADDRESS: / ç Ali.s , CITY: ef70/67 ZIP: 34,5/ <br /> [id"' STATE LICENSE: #,in//, s7s-- <br /> ARCHITECT/ENGINEER: its PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): ,(j. cJ ��/eta.� ,, rtJE-4,2 7v �i64,./ <br /> Uv rzk,4 A's'iz `To o?g-x'/'7' /97,W,4g (1 c4r&�J <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. / <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /�G?t7:, <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 /> APPLICANT'S SIGNATURE: DATE: /r d� <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 />