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Total Fee: $ of3:�. � Date Received: /7 - /9 <br /> Entered By: a 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 O CONTRACTOR <br /> JOB SITE ADDRESS: MI calvg;2 l clrr> 71 Tokt 6, v ZIP: Sc.--; 3`Z <br /> e--e,:4 tjh�s� ��2 �� ,�✓ T24--r(— <br /> NAME OF OWNER: Gr6eP&E --j l L Kti E -( PHONE: (home) <br /> 6/o (work) 4-11,9 >(y^'i`( <br /> MAILING ADDRESS: igzer £, -#4 ST-- CITY: 4,t;,gy ,-rA ZIP: 5-5--yr <br /> 20 <br /> CONTRACTOR: At,011N 1v0 L 1- ('c T42 PHONE: 414-tp`11 l.i' <br /> CONTACT PERSON: MOBILE/PAGER: 55 ct-3, z <br /> MAILING ADDRESS: ,io & ?t& DLJ c> CITY: S'X Gtr i S icvt-. ZIP: SS 3 f ! <br /> STATE LICENSE: # : te5"3. <br /> ARCHITECT/ENGINEER: /1)/4- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): £/ I Cf j410.1) T Fc42 CEyc - <br /> `{ 3/ X 3' ac &,c `,i1 4.A J`-Mr_IT ETA • if cn 5-row i,,,tsroti%4 <br /> ct4(1 <br /> STORIES: 1J(A- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 60, Z66 <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 appro ed plan. <br /> APPLICANT'S SIGNATURE: // 1, DATE: i7/41 <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 />