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v • t <br /> Total Fee: $ Date Received: <br /> Entered By: tet✓ Permit#: 6?-9, 63 <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: 142 E E2� _ZIEP: <br /> NAME OF OWNER: ���` tV (���Y PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ZA2�5 64,Q W CITY:�=Om 0 ZIP: <br /> CONTRACTOR.,,A6-Hdj <br /> CONTACT PERSON: GAa2 MOBILE/PAGER: <br /> MAILING ADDRESS:`7.4ZP5 b�;T. 4�j oz-CITY:�[C\A1�i E�f ZIP: S'S l <br /> STATE LICENSE: # -4r�,q <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): fi,-eZ� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -1 e 5� <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 b orlon wi the approved plan. <br /> APPLICANT'S SIGNA DATE: I • ��-��I <br /> NOTE! Par e o Ho events r re separate permit approval by Police Department and <br /> City Council 60 days prior o the vent. Non permitted events will not be allowed. <br /> 5 <br />