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Total Fee: $ ,� Ohl . 7a"` Date Received: 6 v <br /> Entered By: 4 Permit#: 0-a0 <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 ONTRACTOR <br /> JOB SITE ADDRESS: 3�.S 0 /V o f--_4 1M:F2A / f oa, ZIP: 525-,391 <br /> NAME OF OWNER: J Qqq:�:P_X 2L PHONE: (home) 9I - 7 3?D <br /> (work) L183 - 8gg6 <br /> MAILING ADDRESS: 3 L e p /Vo 'ITY: _5. ZIP: 670-51 <br /> CONTRACTOR: / HefZSj�_- ,LTJ4. _ PHONE: :�-3 3 'a:�S_ <br /> CONTACT PERSON: l)%4#tj L� � MOBILE/PAGER: ZZI - 4357Z <br /> MAILING ADDRESS: 9 7 y0 CITY: /26 B fd LW s&WIP: SS'fLZ <br /> STATE LICENSE: # Z 3 9 Z <br /> ARCHITECT/ENGINEER: PHONE: 5 3 3 - (0'3,g Z <br /> MAILING ADDRESS: 119q0 CITY: f46R,c:,:4p&gIP: Sl:- <br /> NAME: if-v f-5 a REGISTRATION# -Z <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Z n 5 T° �—X WL-F4 - <br /> 0 toID('r-2 dab IF <br /> STORIES: SQ. FEET OF EACH FLOOR: 6110 <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. _X_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): C� OI0 0 <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 willbe in acco dance wi a approved plan. <br /> APPLICANT'S SIGNATURE: ,�� DATE: 7��c��TiU6p <br /> NOTE! Parade Qf Homes ev require se ate it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />