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Total Fee: $ r gCv . 6 3 Date Received: AL' C' <br /> Entered By: i Permit#: I n/ l c7 / c <br /> tf/ 7 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: '4/-1(..e ) ZIP: SS —R).9)o <br /> Will this be a Parade of 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: N` F1A--Zvc t c.kJ PHONE: (home 5-01) L/7a-S-37 <br /> (work) , , - C <br /> MAILING ADDRESS: 141 G.0 ( 31c-4-cL UCITY: Orb e c� /11 ZIP: ,V-6,1460 <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON. MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration t/ Land Alteration <br /> PROPOSED WORK(describe in detail): ':"(in i 5 L. L W JA-k _ceco sz cf be l424 <br /> �`�j�✓�w� Pe v "1 (Ca;kitct y r e-H c,4-C-t*et;c y vt 10. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Sr-176 <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 wi a permit;and that the work will be in accordance with <br /> the approved plan. fI i <br /> APPLICANT'S SIGNATURE: I t ' ' <br /> DATE: /C)/;9' <br /> c-4vZ) <br />