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Total Fee: $ Date Received: / c/C' <br /> Entered By: 4 Permit#: f c 3>3 <br /> e(Le (c^1 5/9/5/ - /K/71 <br /> ; <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 OICCONTRACTORR <br /> JOB SITE ADDRESS: 7_6 I S W QS+ Lo.f a,l ZIP: 5 S 3 3 I <br /> NAME OF OWNER: * occ-@ G a 1-Q PHONE: (home) -16-3 - 0638 <br /> �� (work) <br /> ( <br /> MAILING ADDRESS: 2 kS w-eSj 1-A4-c CITY: ,coOZIP: S533I <br /> CONTRACTOR: ToL- PHONE: G1 Sa-`13S-`l 10 a <br /> CONTACT PERSON: Cc\cc�( bra-e -'r MOBILE/PAGER: 6kz-Voz-SSS6 <br /> MAILING ADDRESS: kc106 L:-co\- Uc;v-e CITY: -C=c1;-Aa ZIP: SSy3 6 <br /> STATE LICENSE: # t Lie <br /> ARCHITECT/ENGINEER: 1"t S PHONE: (2 (2 - 3-i 5- 63 3 6 <br /> MAILING ADDRESS: t o N or*- 2. Si- CITY: vt pt S- ZIP: .SS 9 0 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration x' Land Alteration <br /> PROPOSED WORK(describe in detail): e—©cE \ e i ry \& &7 4 R c1 <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 S 0 00 _ UO <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 not a permit and work is not to start without a <br /> permit; and that the work will b- ' accorl ./, w. s the approved plan. <br /> APPLICANT'S SIGNATURE• 401/' DATE: Z-20 -C� <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 /> 5 <br />