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IP 14s Total Fee: $ I / N 3 . (o y DateReceived: <br /> Date Approved: _ <br /> Entered By: Permit#: g (o(Q <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Y3---20 C ert6.-C7Ccv`V ZIP: 3,�(_? <br /> NAME OF OWNER: N V&? j,WSC (/' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /70 aut YZn7 -&.-V2 CITY: WCI)YZ,0 7 ZIP: _575-5_3 <br /> /Y1,6 6 >,e (f(VS7,cc CK C6 0� <br /> T�� <br /> CONTRACTOR: / i}�,STc'�' '4et{ - ff 0(41 PHONE: C71,' <br /> - e'-"O <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: T0f k(/-S7c/4-7-6:: PHONE: i771 - q2 .7 <br /> MAILING ADDRESS:,S ///C'//G/p() A U CITY: 6-Ce ZIP:,,_5-,5-_3,3/ <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move c- Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): S77 //`JN'YC(t,E-- - / cc( :- -E ida(-{ <br /> STORIES: / SQ. FEET OF EACH FLOOR: c) 70-o <br /> NO. OF BEDROOMS: q GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7,S7 j- <br /> L1--- <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work ' 1,- ' accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ed: DATE: e -261 ^ Pr <br /> NOTE! Parade of Homes events requi • separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />