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"P tat Fee: $ '�,)•85 Date Received: 1-2-- 1_� q&I <br /> Entered By: �j�= Permit#: .$ 1 <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 /> -----Re�t b l e--- `�s c -j---Sy's4k,_m.-------- ------------ <br /> -------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: ,502(� 7'o n�d d ZIP: S-ls-3 S—C2 <br /> NAMEOF OWNER: �a?r�Sc,n ���P e i PHONE: (home) 473-0333 <br /> D r v e�, N�o", (work) <br /> MAILING ADDRESS: -9-S-0 t-AK.a w 3 R d CITY: t)r o n o ZIP: SS 3 <br /> CONTRACTOR: �` a ca S , -MPHONE:_ (e 1 a/S'E i— g q y 9 <br /> CONTACT PERSON: g o b M BILE/PAGER: <br /> MAILINGADDRESS: SgJJS orwend Tangy lib CITY: ZIP: S' Y 2- <br /> STATE <br /> STATE LICENSE: # $a (C Pt 6 15 i <br /> ��nv�-ac�%or 0p <br /> ER: I I 1n A-v PHONE: o 7a 7-is 11. <br /> MAILING ADDRESS: 3 7 e o l,Uesi- Pres�erv� R Ivd CITY:$y v vu vi l ifoZIP: 5 53 37-77Y,4 <br /> '4 <br /> NAME: 1,ar v W 4 l REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> -�n5'(,✓� f I �'�nc�by �be��r-iG� � ®�v�r ��c�1ra r <br /> STORIES: SQ. FEET OF EACH FLOOR: I$D <br /> NO. OF BEDROOMS: n t n e-- GARAGE STALLS: ATT. n r e- DET. h c vie- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 02 Q C` <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 inMance with-the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: /--2// 7 <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 />