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Total Fee: $ 5) • J Date Received: ei-/2.-D 3 <br /> Entered By: 1Z-n Permit #: AO(o7(oZ- <br /> LawDB 9 /2,2/O- _,. <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 OR 'ONTRAC� <br /> JOB SITE ADDRESS: f1O \ k.I.OWUI t✓W ZIP: <br /> NAME OF OWNER: 1 YC IA OYYI€s PHONE: (home)-103-418-04-1-1 <br /> (work) <br /> MAILING ADDRESS: (DZ CITY: VI -Lie ZIP: 553 <br /> +CONTRACTOR: QVC_ _\AO(S PHONE: <br /> CONTACT PERSON: Lpie.l! <br /> . . 021 MOBILE/PAGER:(pt2-327-O9 3 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: .DP PHONE: X103 - eccri <br /> MAILING ADDRESS: 9-1 CO ►�i\- 1 Lee-E.. 51CITY:bus,it.l a_ ZIP: <br /> NAME: 4124 REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): k1EW AOL1 E. , <br /> STORIES: SQ.FEET OF EACH FLOOR:2118 CIS) <br /> NO. OF BEDROOMS: 5 GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , CXXO <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: •\)hd e DATE: 5-12-O <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 />