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Total Fee: $ Date Received: <br /> Entered By: Permit#: 3n �- <br /> C 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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: J ()q6- Tb K)K UA ZIP: <br /> NAME OF OWNER: l )/YJS I.OW L3U XTO 0 PHONE: (home) q�q- 306 1 <br /> MAILING ADDRESS: CITY: (work) ZIP: <br /> CONTRACTOR: LhUtk HOmE 5S, 17Nc- PHONE: 75- 333d <br /> CONTACT PERSON:-7o oC Ka,0- 1'+'IOBiLE R: e qc( - eg-3 8 <br /> MAILING ADDRESS:50"? Fbt210QA1 E ;�OQW CITY: („}4X2fits}' ZIP: S <br /> STATE LICENSE: # 026C)71Qat <br /> ARCHITECT/ENGINEER: Byzoa scom irr- PHONE: q76`ba Aa <br /> MAIIdNG ADDRESS: 3a0 irY1191 D► LBA 5 o-k CITY: (,J4 YZ>f ff ZIP: 5534 <br /> NAME: REGISTRATION'# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): _CONSbW(U -2bN Of &)bL(j KOmE- <br /> STORIES: a SQ.FEET OF EACH FLOOR: t2l!S66 `TOM <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ SOD dr-0 <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: ,C- 13 -9k <br /> NOTE! Parade Parade ofHomees 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 /> 9 <br />