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Total Fee: $ I 11-1,913 Date Received: <br /> Entered By: OA— Permit#: A O(0A y <br /> Q CITY OF ORONO - B i:. 'II G PERMIT APPLICATION <br /> 07 <br /> dtP All information must be submitted in full before plan review will be started. <br /> 5I1 (please print all information) <br /> THE APPLICANT IS: (circle one) CiE NE OR CONTRACTOR <br /> J <br /> JOB SITE ADDRESS: / a,/ C /i 4'ZIP <br /> ,53- 3 3 <br /> -77 <br /> ,ar- <br /> c /( / --�I( -- ez,O <br /> NAME OF OWNER: 7770tA f,04-.41� 62/e ,( PHONE: (home)gam -` 7 " <br /> (work) <br /> MAILING ADDRESS: , � �.-Ce.S.e OZ.P CITY: ,f /jv ZIP: -S-- <br /> CONTRACTOR: < 4/4,7 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: -Eol W DIS Ti k11i S PHONE: (fl?) L( ?-3 6(9 <br /> MAILING ADDRESS: c(0 (3y2 y j i ITY: (,)kJC iJ 4 ZIP: S--c-3S70. <br /> NAME: 10 m REGISTRATION# <br /> TYPE OF WORK: New X I Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): I Nc,( 1V.. 19AL(G(J('T ci (sfJ at.( F )G w.,/02- <br /> OF 'So l b12/14f oN Niki ki gf9'M9 Akeilf - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 000°2 <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 .pproved plan. <br /> APPLICANT'S SIGNATURE: ,0110,, ,,,‘„,„,i �� DATE: ,7,0- ''' .---. <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 />