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# Z <br /> Total Fee: $ 9? Date Received: -4!5'1�f9 <br /> Entered By: ,�,� Permit#: //51 9 <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: ;Vl 96 014 ii:wtd- PeC ZIP: J5S-3,=r / <br /> NAME OF OWNER: DP. -ersoh PHONE: (home) <br /> (work) -'17/- 7&94- <br /> MAILING ADDRESS: ---,Zq44, Old ,Exp Pd. CITY: <br /> CONTRACTOR: PHONE:_ 417,q- �37ZIS <br /> CONTACT PERSON: hleZL, J D�r Spm, MOB�II.E/PAGER: 3-7q- 8&go <br /> MAILING ADDRESS: :.33/ CITY: `Yloc"gz,( ZIP: S5-3* <br /> STATE LICENSE: # ,-;2019051a <br /> ARCHIT ,CT/ENGINEER: PHONE: &/a) 371, X037 <br /> MAILING ADDRESS: 129,/5• -/owl - CITY: SfiG[cva r ZIP: 5SflB� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration 'jk,— Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ M ©r�D <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 99 <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 />