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uyt cf= &-ocf <br /> Total Fee: $ 3612=3 Date Received:3/3(5 0 y <br /> Entered By: 4fS Permit#: ,Q 73<74 (,o <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) WNER 'R CONTRACTOR <br /> JOB SITE ADDRESS:0(9 O(1 ti7 fK 1 U uJJ vu, C r->4 h ZIP: 5 5 3 5 t, <br /> Will this be a Parad f Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 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 /> NAME OF OWNER:514 r4 r12(l nJ eie 6,,,i',,,,0I 0 PHONE: (home)/50i -Li 5-7.n 0 <br /> (work) <br /> MAILING ADDRESS0..`1O(a (.0 7-('t2 TO t; ;J Z 6 2CITY: 0 _oN 0 ZIP: 5 5 3 (, <br /> CONTRACTOR: C Le 19 I` ', L 1); ti c, (-0 PHONE: '1 ,3 'a?S'� ) 0 <br /> CONTACT PERSON: 6"i' i..\ h \ CAD 0 A/ MOBILE/PAGER:e t -, �i S -15 ) <br /> MAILING ADDRESS: 14 a . Nk.cr+I9Q.}A•1 CITY:IL1pAir iC>II 0 ZIP: <br /> STATE LICENSE: #7o O 7 [, S . , <br /> ARCHITECT NGINEER: PHON • <br /> MAILI-. DRESS: CITY: ZIP: <br /> NA,Mt: REG RATION# -------. <br /> TYPE OF WORK: New Accessory Structure C/ <br /> Addition Move <br /> Remodel/Alteration c Land Alteration <br /> PROPOSED WORK(describe in detail): Se .e A ti 1)c h P vb.e I -S <br /> STORIES: SQ. FEET OF EACH FLOOR: 1 ) 9 0 CJ <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `l J cI 4 ej . UC) <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 /> 0 <br /> APPLICANT'S SIGNATURE: - kw•,•µ ,,.-( DATED/ -.-DO 0 (_ <br /> l <br />