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Total Fee: $ Date Received: <br /> Entered By: fJ ) Permit#: 953 7 <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 OIK`CONTRACTO <br /> JOB SITE ADDRESS: 99 0 OW ( . L. 9,0A6 ZIP: 3 `j) <br /> NAME OF OWNER: 1S 'ACe as&)Or0f...) PHONE: (home) 9X6. 0$2.9 <br /> (work) <br /> MAILING ADDRESS: 6 Cti2 4,1.1e1) CITY: OiZON0 ZIP: S.$37/ <br /> CONTRACTOR: oCOFThV' E"‘INtrtscavt PHONE: 'S"•F,2 3 <br /> CONTACT PERSON: t Al 44/4 E. MOBILE/PAGER: <br /> MAILING ADDRESS: 5"a.0 64.1)4 bI,AGC.4t✓ CITY: 10046 art ZIP: ...SVSS:‘ <br /> STATE LICENSE: # 067.3 c 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): e�. - 6)�} 1,4o012 S nt.Gtsc S- <br /> 3e,ss'4e.e. ? 1'TeX. ¢Al A7Zt 1 3 ei- rre-" 111? 6444024.. G'er_ileg4 SiliNCC$ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> "e{ ay <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l) 00 <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 thi is not a permit and work is not to start without a <br /> permit; and that the work will be in acc. • ce wi . = .proved plan. <br /> SIGNATURE: jt DAVE: A.2 o' ?APPLICANT S �,�/� / <br /> -F,, ' <br /> NOTE! Parade of Homes events requ j e separate p: =/it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />