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Total Fee: $ LA (s‘ Date Received: q-Z -0 if <br /> Entered By: 641L Permit#: /JJ( 7q7(.0, <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 /> 'Mf'r oN c <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: nO , W►aLb 'co Pk ►2. ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n Yes ❑ No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: S�T(D-- K PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �a(p l� (1.,t4, PHONE: 752 -414#7- 03 DO <br /> CONTACT PERSON: S MOBILE/PAGER: Col 2- 790,6 <br /> MAILING ADDRESS: i-14 (11us1,1TDWrs3 RJ) CITY: Z..lZIP: SS-3'72 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration X- Land Alteration <br /> PROPOSED WORK(describe in detail):j C ,lnti,N u►N �O(�O�N� . kJ-Q.(D <br /> C.74.0.0 flog _s-ra ON k DP <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a I� to <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE:l, DATE: 9. 2 2 <br />