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• <br /> • <br /> Total Fee: $ 9• A Date Received: i GAS <br /> t Entered By: L.. pp Arno, y-20 Permit#: 1669.45 <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) OWNER O CONTACTOR). <br /> JOB SITE ADDRESS: KO �= z�It-� V �,� ZIP: C3Ct--, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes js, 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 /> NAME OF OWNER: nCL, \ \\o, PHONE: (home)9C2--4L1 -ZQ4I <br /> (work) bl7- 2c-tb (r3 <br /> MAILING ADDRESS:7tic cc_r,.,..V Q CITY: ZIP: 553 <br /> CONTRACTOR: a,v h`nc:3 [I_o PHONE:x(52 - -_3 5 � <br /> CONTACT PERSON: 'l, A MOBILE/PAGER: (,t2 - <br /> MAILING ADDRESS: ? -726 CITY: 1-0,Ne� L—. ZIP: fl1`i <br /> STATE LICENSE: # LIS-06 S'S <br /> ARCHITECT/ENGINEER: JAL cc) ,a(e LAd- PHONE: RS -4vy -166 <br /> MAILING ADDRESS: 301 1�'1��, ,,�o pve. �,;,� „ CITY: ' J�%-tz c L ZIP: 5.5 3g I <br /> NAME: J. 1\,-c3.te, REGISTRATION# I`(e)l€' <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration K Land Alteration <br /> PROPOSED WORK(describe in detail): I) <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: 4.65-0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. -- DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ k-r) `i U • Cu' <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: 3` Z \- (-2) <br />