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- Total Fee: $ Date Received: 2-q-dgt <br /> Entered By: Permit #: q 07207 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print all information) <br /> THE APPLICANT IS: (circle one) OWNER 016NTRACTOID <br /> JOB SITE ADDRESS: /Do5 OLD LonJG--1-0-6 g.-D ZIP: 5 5 3 9' 1 <br /> NAME OF OWNER: bo N,4LD /21-57-- l PHONE: (home) 0-- - 3 %l <br /> _ (work) 457- - 4ze - <br /> MAILING ADDRESS: 017-) 5 IA'Ai e 5 CITY: /L(P!S ZIP: 554'08' <br /> CONTRACTOR: S% i'J t / /.4-S' , ti C- PHONE: 9 5a- 1/33 - <br /> CONTACT PERSON: i'ttN'ty MOBILE/PAGER: ( 12_,- 2-731- <br /> MAILING ADDRESS: Zd R,ce £ CITY: (,da za-1-6• ZIP: ,r,53°1' <br /> STATE LICENSE: # et) 3 9-536 <br /> Ac Cc-paJoLl'r'a-‘&1" k- <br /> ARCHITECT/ENGINEE • h`'' s ' '� b' ✓� PHONE: 6,0- - a y -69 S v <br /> MAILING ADDRESS: (,/ ' CITY: /fit is 1s ZIP: 3 S vat' <br /> NAME: REGISTRATION # gp &S <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): I . karvJk) (Vv.() x (,(,() 1it-4C <br /> STORIES: 22-- SQ. FEET OF EACH FLOOR: � T X1.1- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1,140 1=462 <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 the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: kt(iak—cidi.)-kl/r) DATE: it (0 -' <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and City <br /> Council 60 days prior to the event. Non permitted events will not be allowed. <br />