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` yk U�ycrn � <br /> Total Fee: $ 4q 3. 33Sa �5 Date Received: 7-A'0`f <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUI DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------t/< <br /> ---------------�--- ------------------------- <br /> THE APPLICANT IS: (circle one) OWNERCONTRACTOR <br /> JOB SITE ADDRESS: �'�! T/I�K�f�4 ,�� /✓� /V ZIP: <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 <br /> be allowed. <br /> NAME OF OWNER: 12Aayl,7 PHONE: (home) 4171`1916`7 <br /> (work) <br /> MAILING ADDRESS: 149 CITY: 4149*0 ZIP: <br /> CONTRACTOR: A14#17V,�,5P1�-e?✓4WC, 6�*)PPfWeMe**PHONE: <br /> CONTACT PERSON: -0161V 3�e V1A74 MOBILE/PAGER: 3�- <br /> MAILING ADDRESS: -Y X98.3 0,5-0 ST CITY: '1!;�/✓wT�iy' ZIP: _-7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 1tA1Ji5n1 PHONE: <br /> MAILING ADDRESS: k/1,0 6�v,;;'- cy, e- 4-4e CITY: �i�✓N�rL41e4 ZIP: '5 53 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure x. <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): iGValz-� <br /> �ltiTlyi✓ GoNy�rn'G- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ IRIVOO -e0 <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 SIGNATU DATE: <br />