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Total Fee: $ Date Received: <br /> Entered By: I-). - Permit#: fro 50. <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) OWNERpvce TRACT <br /> JOB SITE ADDRESS: P-S /-//NQ.)/'),,1w1/I LA/ ZIP: <br /> NAME OF OWNER: //t' PeA0 f r' PHONE: (home) 95.2• X72 '7/ 7 <br /> (work) <br /> MAILING ADDRESS: S'2- Liv CITY: 0! 7/0) ZIP• 5-5-13e <br /> CONTRACTOR: DO l pit rj ''C PHONE: 76.E . --(/-_2. .907, <br /> CONTACT PERSON: e0-1 MOBILE/PAGER: X3 - x' - <br /> MAILING ADDRESS: 3493 AbC 12j lGq ,J CITY: PC�i "-41 ZIP: .�,55t27 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): IA)61`);'t 14"11/1 211-11-1.10 .5j ) '' 13C <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ....?0, 0‘D. m <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 accorda ce 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 /> 5 <br />