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4 <br /> Total Fee: $ - 7 Date Received: d S y 3o <br /> Entered By: 721) Permit#: c7/ / R/CZ <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 O& ONTRACTOR <br /> f <br /> JOB SITE ADDRESS: 6/ (1_? Lc:} k L .0' � -VZ: ZIP: <br /> NAME OF OWNER: .- ---4Nc.e: %LI()ek PHONE: (home) q 7r2 s/_-) ' e <br /> (work) 4'7/ - /0472 f <br /> MAILING ADDRESS: `.;dye,e. 445 K JQ CITY: Ordo-rt,E;, ZIP: <br /> J • <br /> CONTRACTOR: '',Alt f c ,►� ' . ` JG"�bvt PHONE: 1;�'/c (39 <br /> CONTACT PERSO �_k MOBILE/PAGER: <br /> MAILING ADDRESS: 760, 1L ,5 1 fki CITY: tif.,:47. xiva. <br /> STATE LICENSE: # O3 3� o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move emodel/Alteration, Land Alteration <br /> PROP S D WO esc ) �e 14.x. may► (oo�, l`'`�' '„`�i�. �� <br /> p � i wc�' <br /> iriI LI /U .Y vt C hamar }r;e le k%/ix /04Xit)'31. ‘./ A <br /> 94i fboda <br /> STORIES: 1, SQ. FEET OF EACH FLOOR: f.v <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S'oltj i'' <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 approved plan. <br /> APPLICANT'S SIGNATURE: � - • DATE: ) w /or- <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 />