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Total Fee: $ Date Received: 3/ ' <br /> Entered By: j4 Permit#: /0 7/k <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 O' CONTRACTOR, <br /> JOB SITE ADDRESS: (Q(4-- Peo-k Ra ZIP: 3 Cp <br /> NAME OF OWNER: -1-c3\ik1 iof1 C VZ PHONE: (home) 03S-369 <br /> (work) 759 Q <br /> MAILING ADDRESS: /b9/.7— GI v, We lal;h5 LK CITY: Bi COM; ZIP: 5593/ <br /> CONTRACTOR: 7 / / s PHONE: 977 6q1 o <br /> CONTACT PERSON: 1E rz2 y Poe f MOBILE/PAGER: 908--766,5- <br /> MAILING <br /> 66,SMAILING ADDRESS: ,s78 it-1;71A S-I- CITY: Reck A ZIP: _63373 <br /> STATE LICENSE: # 75644 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration J& Land Alteration II <br /> PROPOSED WORK(describe in detail): Ke_\o„1c1 GaY 11 X 0-(o d° 4 e7 <br /> 616,f5,f vv\ d firi\o e --Cr t pu it LrN iboa f ro 7/ed Rowel w& s,d-e f7/7)43 <br /> STORIES: ) SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ dcoo <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: I�� DATE: 10.519Z3 <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 />