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Oct'23-2A 02:22pm From-CITY OF ORONO +9522494616 T-336 P.001/002 F-624 <br /> Tqtal Fee: , Date Received: Lo_0� <br /> Entered By: Permit#: ()0:7 c�1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> u (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: s 3�c) �Pb c.jry ZIP: 7`' j <br /> Will this be a Parade of Homes,Relmodelers 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: IZIA0 GSC G Yt PHONE: (home — Z57 <br /> (work) <br /> MAILING ADDRESS: CITY: e ` ZIP: c3:Z3s/ <br /> O<< �70r <br /> CONTRACTOR: zV v, a � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS; 'Gd /W /a CITY: 1'I?/a �id�ZIP. <br /> STATE LICENSE: # ;2.q j ;-� <br /> ARCIIITECT/ENGINEER: < Pl~IONE: /-/_b <br /> MAILING ADDRESS: CITY: Zip: SS 3 <br /> NAME: REGISTRATIO # <br /> TYPE OF WORK: New Accessory Structure <br /> Addi ion Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WO (describe in detail): �,.e f✓��i l fCo�� 6th <br /> e. C—/ <br /> STORIES: SQ. FEET OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S <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 tart without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATU . ti DATE: 6 <br />