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Total Fee: $ , 6-1/ Date Received: // 1-)-)/( <br /> Entered By: v . Permit#: TF -- <br /> /21/37 <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 O CONTRACTOR <br /> JOB SITE ADDRESS: f (--t.)tLLoc 0 LAW., LZ.ZIP: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: L EC.211/4.t.J PHONE: --/ 3 780 S 15 <br /> CONTACT PERSON:it...(tK Koe .t-e e, MOBILE/PAGER: +R S'A.ala c 9 4/6MAILING <br /> t/5"MAILING ADDRESS: 15;21 eltrra t.,tJ 4.1�: CITY: F(.4)40J6— ZIP: 554 q' <br /> STATE LICENSE: # OOO I 5_51 <br /> ARCHITECT/ENGINEER: KLPINCc. PHONE: Leg' Sc� <br /> MAILING ADDRESS: or?? 14.44 CITY: A&.of.,J i41/4 ZIP: 5"571 L. <br /> NAME: Pb,v p,t.p '7Ce.74 J i A)T REGISTRATION# <br /> TYPE OF WORK: New K Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 451061.e" t1 LAI '��. E?'7't1Nc,E1*1.a 14N4V <br /> .//a.s R X730 <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: rLooa, /17/9i <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. ' DET. <br /> UO <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ gfA 0 OO p • <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 SIGNATUI1'E,• ZG i:? DATE: j--„I c/—zoo/ <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 />