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Total Fee: $ 15 r7- a Date Received: /o--;Z <br /> Entered By: /1/K.. Permit#: 14o <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 /> - - - ------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 9 (• ZIP: 5 5 3 5 <br /> NAMEOF OWNER: J e v)eM y GrA n PHONE: Wye e) <br /> MAILING ADDRESS: Sc„rn,c CITY: ZIP: <br /> CONTRACTOR: PHONE: 7(,3- 4,,7-X71,? <br /> CONTACT PERSON: U fa^ MOBILE/PAGER: 7 43- )$(,- S407Y <br /> MAILING ADDRESS: ]/,)7,7 w�nn��-ifcg /;,,� ,c% CITY: C lrg,..�r/�„ ZIP: �►,, <br /> STATE LICENSE: # 6C Xj I�e 0 4 O <br /> ARCHITECT/ENGINEER:_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ition Accessory Structure <br /> Move <br /> r�emodel/ teration�_ Land Alteration <br /> PROPOSED WORK(describe in detail): ,Qep,#,ej( a,��/ a c.,w//f <br /> Iea.-I"g w4k Wvy R.n1oatd p/eules/y a.&.-f we 4-r-e ei4din4 beck i N <br /> STORIES: l SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> 1,Ood°-- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ AdbODW <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: A9,, ,tl- � DATE: /04-6-01 <br /> NOTE! Parade of Homes 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 /> 5 <br />