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• <br /> Total Fee: $ 42, a Date Received: .._-/5", 7 7 <br /> Erterec;-may: y/ Permit#: Il 453 g <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: c:a q0 Diebb to v tA't t iS PoceSZIP: <br /> L L <br /> NAME OF OWNER: C C..e. (A. R I Ley PHONE: (home) L 7 S- 07 L c <br /> 1 (work) <br /> MAILING ADDRESS: 0080 (Oebber 14-itis- A&c)CITY: Lu L.ccke ZIP: <br /> CONTRACTOR: `t')k 1 PHONE: q'13-33i i1 <br /> CONTACT PERSON: - Da UUi c e 1-1ztSIC ct e MOBILE/PAGER: 3( c- q tf?0 <br /> MAILING ADDRESS: 17.5 a s C+y Rel a( CITY: -P/t./mzu.. ZIP: 5 c c 4/ 7 <br /> STATE LICENSE: # 535F <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 in detail): OOH c.1 z 6/'1' ‘.51/it)C tat E-i2 0 i SI1 i i/ex <br /> , k)V tt/,_( (rtk Ice fowl AJcu) - eLf, O c_1 , r $I'i ) d ew •ni-fs r f EL (ley <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> co <br /> ESTaIATED CONSTRUCTION VALUATION (excluding land): $ OM <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 ..'d work is not to start without a <br /> 4permit; and that the work will be '► ..cor :nce with th `a i p!eyed plan. <br /> i <br /> APPLICANT'S SIGNATURE: 4 I , I DATE: (o - Z 7 - 7 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> • <br /> • City Council 60 days prior to the event. Non permitted events will not be allowed. <br />