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• <br /> Total Fee: $!> Og/. </(o DateReceived: 7 - 7,_ 7,5" <br /> Date Approved: <br /> Entered By: /0, Permit#: rJ/81 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) WNER R CONTRACTOR <br /> JOB SITE ADDRESS: ()i ia4u es-/- l'-.141-1/ ZIP: 5:536,4 <br /> NAME OF OWNER: _a 14-/Vci £ (I-u(1 c (A(Jefe PHONE: (home) 4?a--Cn9�/ <br /> (work) 304-/-00S 7 <br /> MAILING ADDRESS: 99S lQ . CITY: O(o't a ZIP:5536 <br /> CONTRACTOR: Q W 111,U PHONE: <br /> MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /7)w sy,' PHONE: <{7b -97s t, <br /> MAILING ADDRESS: 55/o Gi r,cr1s,1z (_A-nCITY: Sal zeei,Jvad ZIP: SS 33 1 <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition !/ Accessory Structure <br /> Move Remodel/Alteration 1/ Land Alteration <br /> PROPOSED WORK(describe indetail): conpi'eh o i o f r,,4 e ,delt./j ovr , 4.4c{ <br /> k , i 64df i c-H. <br /> a� YTGt-J c{C� ��YcL <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> i‘Pttl.ft NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Oba <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: `� I.1,./_j ti DATE: C 7 %5 <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 /> 9 <br />