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Total Fee: $ Date Received: <br /> Entered By: Permit#: i/ '/S-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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 47+5' W. s 4orz_r., ZIP: �S 1-400" b M f4 <br /> NAME OF OWNER: 4f�R(vA At4 e,[ZAvL� PHONE: (home)L('Z-4.12-"S1 <br /> (work) 619 - -5015 471, -7 4- <br /> MAILING ADDRESS: f 74 5' 14, S p4rL E 0 R. CITY: F,A00 N D ZIP: <br /> CONTRACTOR: 0 We 4 S(2 PHONE: Ce('2. 4 7 t 1'9 cf <br /> CONTACT PERSON: L jf 1'Z"4m CSM. q MOBILE/PAGER: <br /> MAILING ADDRESS: 74 ,�, £ . CITY: tju m Q ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:J.H dA H L M f-►E►2 T-,u�,i N ff KO NNHONE: <br /> MAILING ADDRESS: 2-f34 Cot,,v►Sgj.�ACITY: 'Movi•4 fl ZIP: 65,3("t <br /> NAME: Jo 4o t7A h L iA E i E rZ REGISTRATION# <br /> TYPE OF WORK: New Addition 1, Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): �E_ <br /> R Eayin d E L -z- <br /> STORIES: <br /> STORIES: Z, SQ. FEET OF EACH FLOOR: 12 ZP D <br /> NO. OF BEDROOMS: Z Z-GARAGE STALLS: ATT. V' DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 'fD d 00 <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 accord e with the Woved plan. <br /> APPLICANT'S SIGNATURE: DATE: &Az i�zl I <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 />