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e <br /> Total Fee: $ 54 3. 3 b' Date Received: 7-A "' <br /> Entered By: 197 Permit#: ACS // <br /> i 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) OWNER r C TRACT <br /> JOB SITE ADDRESS: ii 7(c'J i,(,)a ✓`ij],C,1 eczck ZIP: S 3T`i <br /> NAME OF OWNER: I ata E3 r(Li PHONE: (home) 'k - x,75.- 11,67) <br /> (work) <br /> MAILING ADDRESS: Li 7(.75- 1,becl rkJi ii) / , CITY: rvy)(,) ZIP: --5.-33-7 <br /> CONTRACTOR: r)a. i) Cmc f act rv's -ai2c . PHONE: (c,".;/ - Co 3 t- 1/ t) <br /> CONTACT PERSON: in p yo k t� MOBILE/PAGER: <br /> MAILING ADDRESS:...iia_., C 4 /1i,%c/ . .0 LO CITY: 4�1, A!ii hit ZIP: 's s t)a <br /> STATE LICENSE: # /c4; 7 4% <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): (,1-t)ict,c!( c 3 '(1_3,ry-) L'_:ic,toSt.cc_t <br /> 0)\--i',) (t i1 c 6 (Sin <<1� <br /> l l a c/i /,f' <br /> STORIES: 2-- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c-;2 )i .-/Ci 7 G?U <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 wi the approved plan.APPLICANT'S SIGNATURE: j f/ ,t/ DATE: '7 J2OJ0/ <br /> ! I <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 />