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mois <br /> 2 <br /> Total Fee: $ ; p ( . l , 0612 Date Received: 5/2-/ /6 3 <br /> Entered By: Permit#: ( y 3 <br /> CITY OF ORONO -Bt DING 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 11?5 OrmO Ortt r0t ROI ZIP: <br /> NAME OF OWNER: wa rrt Pa' m PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: Sar► __ CITY: ZIP: <br /> CONTRACTOR: Ye.r2t ,A G.o.�S'� PHONE: GI2-24-'x/07 <br /> CONTACT PERSON: R .iq,« MOBILE/PAGER: <br /> MAILING ADDRESS: )..-714 (Un,`ver'c1.1- Ave?1/41 CITY: Iso v-, ZIP: crOgp <br /> STATE LICENSE: # „NO y <br /> ARCHITECT/ENGINEER: 111,',0010/) 4- t1ia�L PHONE: 612-3"1 P— 1-105/. <br /> MAILING ADDRESS:71 Gra,'n excLAjes) CITY: M p C ZIP:6-f/l f' <br /> M <br /> NAE: S'-Actr`'- Ma, 64 a/d REGISTRATION# 1333 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): £44- JAd,�S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 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 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: DATE: 5/.1103 <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 />