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Total Fee: $ 91008,75 Date Received: <br /> Entered By: a.. Permit#: Po a-777 <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) MD OR CONTRACTOR <br /> JOB SITE ADDRESS: 45-73 Zr44O GS41A( A pz , ZIP: <br /> NAME OF OWNER: Ito Ct �.'�"r- PHONE: (home) <br /> (work) (a12."e`ll-1100 <br /> MAILING ADDRESS: 6O1 Cll a ?fr ) CITY: rh I-4J#cO4 4 ZIP: SS"3 01" <br /> SjRti knr <br /> CONTRACTOR: %?....oTAS 110 h.JL CA XP PHONE: (.3-LI-y � <br /> 3Z <br /> CONTACT PERSON: j1 f b MOBILE/P GER: 12. 3 4 3-3 gn, - <br /> MAILING ADDRESS: 3 3 6 y� r c , N,F._. CITY: f`fi4Lo ZIP: ,x` I I <br /> STATE LICENSE: # q?9 ? FA x 03Z- (DSb3O <br /> ARCHITECT/ENGINEER: &1/4212.K r- Y AA PHONE: 417 0-9-7V.)MAILING ADDRESS:02 7? (4 AT'fw T, CITY:' -S/um.. ZIP: S 33 I <br /> NAME: MgZI . /.-/A _ REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: SQ. FEET OF EACH FLOOR: APA SS0O 0 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. (o DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I , (300,000 <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 confo 'i. ce with the ord. ces and codes of the City and with <br /> the State Building Code; that`I understanthis is not rmit and work is not to start without a <br /> permit; and that the work 411 be in - - .ance ' the approved plan. <br /> APPLICANT'S SIGNA �J DATE: Yo v <br /> killir7/2 <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 />