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Total Fee: $ %CI tp, 5 9 DateReceived: 6/Z(i YCF, <br /> Date Approved: <br /> Entered By: (79 Permit#: cr'/y <br /> U <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER JR CONTRACTOR <br /> JOB SITE ADDRESS: 55 e4!1/trAi rp-r Zit( ZIP: 4,3—S 3 6 <br /> NAME OF OWNER:Ce veto , / eJre PHONE: (home) 419- 3 i{ <br /> (work) <br /> MAILING ADDRESS: e6ci,erCITY: ( jetey r) ZIP: S- 3( <br /> CONTRACTOR: 'r'• 't,:1"-LA-3 ry a�_ __ --_,1-51. 17t5", <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHII'ECT/ENGINEER: , Sn P�r,r PHONE: ¢¢U <br /> MAILING ADDRESS: FO to r CITY: d , ZIP: 63"f( <br /> NAME: I /e REGISTRATION # <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Remodel/Alteration >e- Land Alteration <br /> PROPOSED WORK(describe indetail): <br /> STORIES: t SQ. FEET OF EACH FLOOR: (, 6)7 S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. .3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Lk, 0 O ,f> <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this not a permit and work is not to start <br /> without a permit; and that the work will '- '4 accerda' e with the approved plan. <br /> op <br /> APPLICANT'S SIGNATURE: - DATE: 4 —PG-7 <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 />