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Total Fee: $ Date Received: /o'/9-OS <br /> Entered By: Permit#: AO'932 8 <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 /> THE APPLICANT IS: (circle one) WN I OR CONTRACTOR _ ~ <br /> JOB SITE ADDRESS: ✓ ?s v KI1I oL Z c ZIP: 53-2 6 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes ® No If 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: f' (ccr e 41;� )6)4 4Gers� PHONE: (home) 9S� <br /> (work) <br /> MAILING ADDRESS: S75 C)x4,J ,/ CITY: )r- c, ZIP: S-SJf <br /> CONTRACTOR: 3' y&/ PHONE: ( cam 'Y7S ,26 <br /> CONTACT PERSON: l l." ;eve r- MOBILE/PAGER: <br /> MAILING ADDRESS: 3,13 5 Ga.r, Jed-Ai 1 CITY: At- -kct ZIP: X533/ <br /> STATE LICENSE: # ,29 EXPIRATION DATE: //o <br /> ARCHITECT/ENGINEER: Arit/c,c a ,rve y PHONE: 7<9Z Y7 <br /> MAILING ADDRESS: c3do l /L to( CITY: ,tit c ZIP: s-' <br /> NAME: /tti/CP REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ k _ <br /> Addition _ Move Home <br /> Remodel/Alteration <br /> PROPOSED WORK(describe in detail): .S-i-a(-�)e_ S ke ci <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED 9'(0o sg. ft <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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:/ DATE: /o - /Sj <br />