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F z; <br /> Total Fee: $ Date Receiv d: 27-0V <br /> Entered By: yvU Permit#: 'O 7'c <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) OWNE' J R CONTRACTOR <br /> JOB SITE ADDRESS: yo 4/e ZIP: ,53-55-`? <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n 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 /> 074 <br /> NAME OF OWNER: ,1 ,i/11,c4�,..4 04/4,-y. PHONE: (home) yS2-c/2_5' yfx7 <br /> / <br /> (work) <br /> MAILING ADDRESS: 9'5799 ei/c /-k ,v? ,J CITY: ZIP: ,5-5-.}- <br /> CONTRACTOR: <br /> �7CONTRACTOR: PHONE: <br /> CONTACT PERSON: Cbz- MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration k Land Alteration <br /> PROPOSED WORK(describe in detail): /4/ c_g,Z-l- /o,/ <br /> STORIES: Z- SQ. FEET OF EACH FLOOR: /060 <br /> NO. OF BEDROOMS: j' GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Oo"= <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 w bout a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: t /) DATE: a,: G <br />