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Total Fee: $ G*�r< <� Date Received: 7/i <br /> Entered By: - Permit#: 7t- i <br /> y - �R <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)( WNE )R CONTRACTOR <br /> JOB SITE ADDRESS: 2 G, 1-e k . ZIP: <br /> NAME OF OWNER: it lAL PP 9 2r '[1 PHONE: (home) <br /> (work) j 2 .'(2Z- 54 7 <br /> MAILING ADDRESS: i ,I,0Q /We. • CITY: t" 6AW4IP: <br /> /iln1 1!Z <br /> CONTRACTOR: .121,A'bJb GQK e PHONE: (p 12 •g 2 •X302. <br /> CONTACT PERSON: , Z.QM,LA1460 MOBILE/PAGER: <br /> MAILING ADDRESS: &L.44r/11/44TGI IP: <br /> STATE LICENSE: # /•"" 4:P2,0 <br /> ARCHITECT/ENGINEER: f?'61 t,1- jewTh f 19VH0 : Z-4 <br /> MAILING ADDRESS: •;„-;.L1TY:4f QIP: • 122 <br /> NAME: 114Lj G. f? J REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1 ' /O . — <br /> 11, ! .ems.. V- <br /> STORIES: I SQ. FEET OF EACH FLOOR: ) 11 ' • <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ d4r <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: r %'t DATE: , 'i <br /> e • <br /> � cc lam, <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 />