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Total Fee: S Date Received: ►t -7-t- o3 <br /> Entered By: PagS Permit#: O-')03.5 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIO <br /> All information must be submitted in full before plan review will be s <br /> -(please print all information) <br /> -------------------------------------------- -----------------------------------------------------r4O-A-' ---- 'l <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3720 Togo � G P cl ZIP: <br /> s <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not IN <br /> beallowed. r <br /> NAME OF OWNER: Hzv 6 � L jpC f� jo PHONE: (home) q 5-2 -47141S <br /> _ e e t (w.� 61 2 - ,56) - In ( i <br /> T <br /> MAILING ADDRESS: 372-6 o OpW CITY: 24 kq ZIP: <br /> CONTRACTOR: S PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: o- <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # �o <br /> r <br /> ARCHITECT/ENGINEER: S Q PHONE: <br /> MAILING ADDRESS: CITY: ZIP: s <br /> NAME: REGISTRATION# <br /> s <br /> TYPE OF WORK: New Accessory Structure <br /> Addition ` Move <br /> Remodel/Alteration X Land Alteration -s <br /> PROPOSED WORK(describe in detail): Add i✓� �10 v .Q r JA p w (o f Z <br /> a l 0 <br /> 2 Pm�.�r <br /> STORIES: SQ. FEET OF EACH FLOOR: 72 F <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: l` DATE: D 5-/7 CoAl 4-- <br />