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Total Fee:, $ C5 - -c5--? Date Received: L?-;)-Q-C� <br /> Entered y: ,,it- (� L-V V:1C) Permit#: -76P�5 q <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 /> ------------------------------------------------------------- ---------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 3ToGc� !U ZIP: <br /> Will this be a Paraqde 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 <br /> be allowed. <br /> NAME OF OWNER: Lk. Ne f' 42t:&fj PHONE: (home) 0312 <br /> (work) gst)u <br /> MAILING ADDRESS: 3'�gs %Oc.c; CITY: 01- <br /> ZIP: / <br /> CONTRACTOR: LA PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Id 'x /y1 1)e-clL , 4#yk.Aa4 lb Ya),W— <br /> o2xl P:esswk kaafi!z! w,m.: N',.Lle Sl r w/11.9,...160 3c-146 h <br /> STORIES: /J��" SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 1 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 960 -w <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. j <br /> APPLICANT'S SIGNATURE: ATE: ( off <br />