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Total Fee: $ Date Received: <br /> Entgred By: C' / 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: x/05 W //vw Ave ZIP: 5 ,323 <br /> NAME OF OWNER: GJ1 <br /> %ate f kul�iei^ir�e PHONE: (home) 1-173-5W4, <br /> (work) <br /> MAILING ADDRESS: �k6 Abll" /+W, S. CITY: ZIP: b53z3 <br /> CONTRACTOR: KAT /Ns 7 y�v,c's /fir-res /.yc . PHONE: /-7S-11(,o <br /> CONTACT PERSON: Pea/ MOBILEIPAGER: .538- 87Z 1 <br /> MAILINGADDRESS: Iliio5L'ov„n-cl,eo. ,?V CITY: ZIP: 653sco <br /> STATE LICENSE: # y738 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: fLlec.(;rla ZIP: s53S� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�C_ Land Alteration <br /> PROPOSED WORK(describe in detail): louv bec y-aprr,-t bC44A . QeIVLO l <br /> 6-M <br /> STORIES: SQ. FEET OF EACH FLOOR: 2(Cq0-0c :510 , <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 6,3, cacz--,• vy <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: <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 /> 6 <br />