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-- <br /> Total Fee: $ / © 15 C� c/ Date Received: <br /> Entered By: _P_19 Permit#: <br /> L, YIS-' Z / ZJ I O Z <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 /> ------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: [j � (� (p") &?=8 ZIP: <br /> NAMEOF OWNER: _ 1 <br /> �'71 � <:��,�vyt�1.L PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> z eii <br /> CONTRACTOR: b (A/ � � �t Y1 PHONE: j5 Z-- <br /> CONTACT PERS o MOB LE/PAGER: <br /> MAILING ADDRESS: 1=9 M+ir A Z W& CITY: g_e - ZIP: <br /> STATE LICENSE: # 2-1 fly <br /> ARCHITECT/ENGINEER:` o e,(r PHONE: 951— 4176--Z097 <br /> MAILING ADDRESS: I L,Z-7 N,�1-(�A 2 ly d CITY: ZIP: 15Z � <br /> NAME:a W W $;,;,c,e' REGISTRA ION# <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): mcab k/ <br /> t - <br /> A"ii Lir v �i0 5� <br /> STORIES: 4 SQ. FEET OF EACH FLOOR: (P � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ , noo <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: j DATE: b-2- <br /> NOTE! Parade of Homes events require sep ate 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 />