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Total Fee: $ 3�2 s Date Received: <br /> Enured By: Permit#: NO 7 9 9 5 <br /> L- ns9 4/7-Y <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) OWNER O CONTRACTOR ' <br /> JOB SITE ADDRESS: iJP�JdA ) � � ZIP: `�714� <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: VSA KA�A442 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: (o CITY: ZIP: <br /> CONTRACTOR: ( � �N^t LBS�`�'� 4 JL . PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: (' ,Z25� Tag CITY: ZIP: '4 <br /> STATE LICENSE: # 2©01-T�; (!3 <br /> ARCHITECT/ENGINEER: `TDCV C -pPHONE: 4-Z 3676 <br /> MAILING ADDRESS: —jkow,40:z, AiAr– 4,10 CITY: j ,_ ZIP: ST <br /> NAME: REGISTRATION'# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): 1'- j <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: (Ze-n <br /> NO. OF BEDROOMS: 4 GARAGE STALLS: ATT. --?,Y< 5 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j e��0, s o <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: G DATE: 2Z n <br />