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4 <br /> iota' Fee: $ y3? Date Received: I _ _✓Z C>L' <br /> , Entered By: . Permit#: r. 3 CC <br /> L` t /0-2-00 <br /> t,.� <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 ORONTRACTOR <br /> JOB SITE ADDRESS: 1/30 LAJ l� Jr.dZIP: <br /> NAME OF OWNER: (qJ, I I,cX PHONE: (home) 4'13 -345-9 <br /> (work) <br /> MAILING ADDRESS: //30 d1 )td t_) r CITY: C,vox, ZIP: <br /> CONTRACTOR: Coyt,5 iA,c1PHONE: (rZ - 418 8/7S- <br /> CONTACT <br /> SCONTACT PERSON: Jo- - P� MOBILE/PACER z0 z -s_?7 2 <br /> MAILING ADDRESS: (0Z5CITY:MOBILE/PAZ <br /> s ZIP: 5 4c) <br /> STATE LICENSE: # 0Z-1 / <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition }d Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): (1 %-t( <br /> L.s. 0 <br /> STORIES: l SQ. FEET OF EACH FLOOR: 48n 'SI Z <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( ipa-Cm <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: i c '�— DATE: - Z© - c-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 /> 9 <br />