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Total Fee: $ //� 3' Date Received: <br /> Entered By: C/ Permit#: /O Y 8 <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 OCONTRACTO <br /> JOB SITE ADDRESS: 2)3 5 W I D'SAM MCS✓- L ll) • ZIP: <br /> NAME OF OWNER: C UC K g 1 b i- L PHONE: (home) Li 7.2 - 3 -7B <br /> (work) <br /> MAILING ADDRESS: 53S- (Ai) bYtri'llMO✓— CITY: 0 rzoZIP: <br /> CONTRACTOR: Pl-A & USA t S O N3 C.i2 PHONE: (7't'-$7 / ( <br /> CONTACT PERSON: ?LA ISS t.,31orTs04 MOBILE AGE' . (Pl&r i kL) 5a-6-Cie <br /> MAILING ADDRESS: 75-o Q..) VCA- AVE- CITY:C/44,J Et A5 SN.)ZIP: 5 C3/7 <br /> STATE LICENSE: # 'j.83 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): ►3ATN - tJ( L ) C.C..-(4-A-nii - TtLC NE ci <br /> I-A V� Re.- vs& To,«T1 Com ✓d-OZ.S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ beze vrj:- <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 a cordance with the approved plan. <br /> ,, ) <br /> APPLICANT'S SIGNATURE: w DATE: 7/13 ) <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 /> 5 <br />