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r *. <br /> Total Fee: $ 3 43, 7 7 Date Received: <br /> Entered By: 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: r, a �D�-I� S-i✓Pa M K N Zip: <br /> NAME OF OWNER: Tim am S(a E Q�y l r7� PHONE: (home) 323 <br /> (work) <br /> MAILING ADDRESS: Na4 e; YPO Vl` CITY: ZIP: <br /> CONTRACTOR: ' I PHONE: U" 5�79 <br /> CONTACT PERSON: �,j ,<U bf (1'1i(ha ei MOBILE/PAGER: 1%vy tr70-Sg7q +Chu, <br /> MAILING ADDRESS: 1+1��►LA� I ti! CITY: � � ZIP: <br /> STATE LICENSE: # �qT_ <br /> 45Z,-?r�o4 (i/2— <br /> ARCHITECT/ENGINEER: Gs� �,. PHONE: �2 ~ �S 3 S� <br /> MAILING ADDRESS: S Mnv'►�r�i' �Ka CITY: O vm o► > ZIP: 55'3l04- <br /> NAME: ��IY 5Na REGISTRATION# <br /> TYPE OF WORK: New Addition ✓ Accessory Structure <br /> Move Remodel/Alteration ✓ Land Alteration <br /> PROPOSED WORK(describe in detail): "vt L 7 <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( D St P I u 5 h 4 <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: DATE: 3- _ <br /> NOTE! Parade Qt 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 />