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1 4/, Total Fee: $ �3/y S Date Received: .. -.°- d/ 35" 70 <br /> 3 ' Entered By: JY7, Permit#: ----i-c2.305 y7?-0 4.:;i..t4_10 <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'91: CONTRACTOR <br /> JOB SITE ADDRESS: 10.E3 C7 v--,`c-z t S T 0,) , ZIP: s---5-- 5-G, <br /> NAME OF OWNER: CZ JC- ^^iS PHONE: (home) �sz- ��3-G�a <br /> t SSS .iA'.:'-'- <br /> ,� '�w 0 (work) (oiZ-3 a d-/'-!i I <br /> MAILING ADDRESS: t�3 CITY: ZIP: <br /> & may ,- J <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # --) c55i� <br /> ARCHITECT/ENGINEER:"OF P ? n.;nc. PHONE: LS( -C,3(...- 0,981 <br /> MAILING ADDRESS: '--i ler--1 14-kkt,..n k.ii n N€ CITY: PACEN(41 b ZIP -► I- <br /> NAME: tin .•.. REGISTRATION# <br /> TYPE OF WORK: New i Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): a --T-1/47,,a,--r i Tlb <br /> pec,,. 'c... -/iw1s ( i7e.,K ur.. DSD ilitv>,it"; <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: / DO /L 7(. /.5 7 S— <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 ---7o,ci <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:r\ DATE: 0- (-- v <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 />