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67"7iU 2 <br /> Total Fee: $ 3 g S� Date Received: <br /> / Entered By: I ' Permit #: /405.9 -7Y <br /> /4113 CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> print all information) <br /> (please f ) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: eiZc) 4r2GNfitz) /7fffzri /Z4) ZIP: <br /> NAME OF OWNER: poicOEIU PHONE: (home) <br /> (work) ( 9 665--?06p <br /> MAILING ADDRESS: /.,U,i3ux 4? CITY: 1�:�' Sz , ZIP: S;5-3 7 y <br /> CONTRACTOR: 1-„p11, (3011..pZ5 PHONE: <br /> CONTACT PERSON: G.AfLa- MOBILE/PAGER: Cott) 66 c-? <br /> MAILING ADDRESS: '_o.t3o,& CITY: aci6c--4 5 ZIP: 5-137i( <br /> STATE LICENSE: # /3 2-7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New )c Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): MEW e'ceEt ft <br /> STORIES: Z— SQ. FEET OF EACH FLOOR: lir!t7gt j Z tiP z)e 4 <br /> NO. OF BEDROOMS: ( GARAGE STALLS: ATT. 3 DET. <br /> o D U <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $4 s6 a <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: �/. lam �.�� DATE: 5/7.14Z- <br /> NOTE! <br /> /7l4Z <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 /> 9 <br />