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Total Fee: $ �� r 7��' Z Date Received: <br /> Entered By: Permit #: c Z -7 <br /> 1 <br /> CITY OF ORONO - BVLDING 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: -7,-/O 5- w.I1 ow 1-JR-1yE ZIP: 45301 <br /> NAME OF OWNER: rqMtL. HIf H-RAtiI PHONE: (home) <br /> (work) �Z-9g$-ooio <br /> MAILING ADDRESS: 1599 gwY 7 3,r205 CITY: d pis ZIP: 6'5 <br /> CONTRACTOR: tL-,,, Mna.miamsjr 4tm PHONE: q5Z-988-oc�td <br /> CONTACT PERSON: Kau i4E-ftp MOBILE/PAGER: ZjS-y4,V& <br /> MAILINGADDRESS: 15M µw4' 7 6n 7 - CITY: t4py-x.t5 ZIP: $5.25 <br /> STATE LICENSE: #gC_ 20121S I`18 <br /> ARCHITECT/ENGINEER: p �t � ,.! PHONE: <br /> MAILING ADDRESS: yrgi iW ►o ha Q CITY: deo A5 ZIP: 6611z- <br /> NAME: <br /> 611ZNAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): c3,,Wle x, ;14 �M, ,,j;.� /anke-t ao C-I&CM)E- <br /> STORIES: Z-. SQ.FEET OF EACH FLOOR: 7,,,3�_ lit tyt fl, 182�� Z,,oA.18W <br /> NO. OF BEDROOMS: _3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,pop=-° <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: _T I�lID2 <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 />