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Total Fee: $ <br />Entered By: <br />Date Received: ^ <br />Permit #: ’35'_______ <br />1^' <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 OR CONTRACTOR <br />JOB SITE ADDRESS: TDKIKAWA BPAt)ZIP: <br />NAME OF OWNER: TEMPLE PHONE: (home). <br />MAILING ADDRESS: 1E2M <br />(work) (aiL V1H - GiOS <br />FP<V>J AVP <;.C1TY: MIMHEAHMSZIP: gS</DS <br />CONTRACTOR: T)IVFRSIPIgD rOMSTeiXJiOl^ PHONE: <br />CONTACT PERSON: DAVE SOIAFK/rR MOBILE/PAGER: fclZ <br />MAILING ADDRESS: IPiD HWV "7 ________CITY: gT.ljPOK PAgiiZIP; 55^ <br />STATE LICENSE: # 3U>H\ <br />ARCHITECT/ENGINEER: WALSH PHONE: (aVl 33&-61*19 <br />MAILING ADDRESS: q^D^ty/VKlD AVE S. CITY: W\Mf)^R)US ZIP: SSMOT. <br />NAME: MYHAEL 5Hj£LDS___________REGISTRATION ft iZMgO______ <br />TYPE OF WORK: New X Addition__ <br />Move Remodel/Alteration <br />Accessory Structure <br />Land Alteration <br />PROPOSED WORK {describe in detail) : MbW 5H0WEE«/TDIUET <br />FOZ C/VMP T£k:o__________________________ <br />STORIES: I SQ. FEET OF EACH FLOOR: I.OQO <br />NO. OF BEDROOMS:GARAGE STALLS: ATT.DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ iPPi QQO» _____ <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 1 understand this is not a permit and work is not to start without a <br />permit; and that the work will be in acc^dance with ths app^ed plan. <br />APPLICANT'S SIGNATURE:DATE: <br />NOTE! Pnrndfi 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.