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Total Fee: $ 5 ?1 . I F Date Received: - <br /> .�°� Entered By: 6,144---- Permit #: ti 0 2_ <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 OWkER CONTRACTOR <br /> JOB SITE ADDRESS: e 30, ;\\��� .' '53-;-- 9-1- <br /> NAME <br /> .- --� <br /> v �cti.--' U�� ZIP: a� SSS <br /> NAME OF OWNER: �`, 1 "v\--=- ` PHONE: (home) cr 57- L/13-(,-7 ) <br /> (work) -A, 3 4c9 tl Z <br /> MAILING ADDRESS: Ioc"-: R-x-s CITY: ,i,,, /- ZIP: <br /> c <br /> CONTRACTOR: 17'1/C- I t' PHONE: 7b�-�au.; <br /> CONTACT PERSON: )1(Gk. ti )Cj 6 Lie‘z„P; MOBILE/PAGER: <br /> MAILING ADDRESS: J co 3 ;=7,".e ti, u G s cot-r<.- CITY: v✓ ZIP: <br /> STATE LICENSE: # -? cis-- <br /> ARCHITECT/ENGINEER: 7-- )k-'t ,'� <-..N,;,Al PHONE: 4, Sk <br /> MAILING ADDRESS: 4'"l c.‘ 1, t- i +n,�, ; Al z- CITY: (Mc/..;' rob ZIP: f <br /> NAME: ���� ��� �. ••� <br /> REGISTRATION# <br /> TYPE OF WORK: New c.. ` Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ( cg‘ (1A,- ;i 1lt"�c�.A) I •r'-c_ <br /> STORIES: . --- SQ.FEET OF EACH FLOOR: 1'f- 3 7 , is-3 -7 <br /> ' � t <br /> NO. OF BEDROOMS: < --_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1/4), <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 bq'-inEccordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I /1/ y //c <br /> NOTE! Parade of Homes events requir 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 />