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Total Fee: $ O 3 Date Received: UZ) <br /> Entered By: LAPermit#: A C) 93 <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�ONTRAC <br /> JOB SITE ADDRESS: gSO OLS CiV'57 L &OY 14°A0 ZIP: <br /> NAME OF OWNER: Plikf * gemi CzCwe-, PHONE: (home) 'P5 5-0 <br /> (work) <br /> MAILING ADDRESS: SS° °W(4/3-0(C43' Q;v ,0 CITY: Q//. .i° ZIP: .553// <br /> CONTRACTOR: D0I"o'd /900C r SPA PHONE: -S/%-? '41('°0 <br /> CONTACT PERSON: t 871/^ ifvfs MOBILE/PAGER: 759.9 ' <br /> MAILING ADDRESS: 14105 //w`//69 N° CITY: PO's"" ZIP: S-5.140 <br /> STATE LICENSE: # S3/o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 22-' ee41-00 .2� �► (I.o • &I''f t flop(- <br /> STORIES: <br /> STORIES: SQ. FEET OF EACH FLOOR: re:)° <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Om <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 /> thOtate 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 approved plan. <br /> D,.'47 mow- r t <br /> APPLICANT'S SIGNATURE: > DATE: j t e" <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 />