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, Total Fee: $ Lf, Lfi c l Date Received: - '(1 (Jul <br /> Entered By: '1,11? 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 /> THE APPLICANT IS: (circle one) OWNER ORONTRA <br /> JOB SITE ADDRESS: q(p5 /u614.) (/!esti nayoz, ZIP: <br /> NAME OF OWNER: r,20 4445 aavr PHONE: (home) <br /> (work) �d 3-Ara-675-a <br /> MAILING ADDRESS: /5;2/ 9017 /N /ue. CITY: 624-we ZIP:5-6y4/9 <br /> CONTRACTOR: rah i�114h?4-SGo r , PHONE: VZ, - 23!)---5-7S-4:. <br /> CONTACT PERSON: .1/f1/'e K esreee. MOBILE/PAGER: /a/a2 590 46 S <br /> MAILING ADDRESS: j 91/Lit! it/Z-; CITY: .�/g1/ye- ZIP:3:54"1/4/9 <br /> STATE LICENSE: # f3S'7 <br /> ARCHITECT/ENGINEER: 2)f P T,G ,e1/) PHONE: 76 3 77o -m'/ <br /> MAILING ADDRESS:q/QD £gGTi/ yee 5r-Aro CITY: 4/,%/m ZIP: (54/419 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New f Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): to " Alto <br /> STORIES: a SQ. FEET OF EACH FLOOR:4714,76:14/4 /' 93 <br /> NO. OF BEDROOMS: ( GARAGE STALLS: ATT./ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $'/1:5) • <br /> % <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 roved plan. <br /> APPLICANT'S SIGNATURE: DATE: c_06, <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 /> 9 <br />