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Total Fee: $ yy(, 03 Date Received: M-Y <br /> Entered By: c )41(-. Permit#: ,D,5 7/7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> V O� All information must be submitted in full before plan review will be started. <br /> ` 1 (please print all information) <br /> 1 THE APPLICANT IS: (circle one) OWNER •R CONTRACTOR <br /> JOB SITE ADDRESS: 2S O12ONO OQI.. 4, zD 2 ZIP: ' 4' <br /> NAME OF OWNER: M I k+ ? trg()j C-"' PHONE: (home)4ivZ.4'761•VI I <br /> (work) GIrZ• 1'2,5•Sion° <br /> MAILING ADDRESS: 25 OR•ONe7 012444A9-4:> CITY: Lt•1NCo L.3•Ie-.ZIP: (p <br /> TlD <br /> CONTRACTOR: i t J4, � �NG . PHONE: 4152. •' 5• $4000 <br /> CONTACT PERSON: M Ik.>? ppes1gipt,c' MOBILE/PAGER: hIZ ' 5 %0 1 <br /> MAILING ADDRESS: (1)3i, a mp AVIS 60v04. CITY: 1• k. tv S ZIP: !'3 43 <br /> STATE LICENSE: # 1(11 2.0 <br /> ARCHTI'ECT/ENGINEEI S&Ag AS A.gpJE•) PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ?e Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): P-AU1Lr °('3LD UNA <br /> STORIES: f SQ. FEET OF EACH FLOOR: R7 lei <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. >(- <br /> ESTIMATED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ # 1 1s1 . <br /> I <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 SIGNAT (-- DATE: 01 Sibbi <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 />