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Total Fee: $ as 7€1 8 14( Date Received: 1)--r-0`( <br /> Entered By: 4)(172- Permit#: A-C,+ q--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) OWNER OlR CONTRACTOR <br /> JOB SITE ADDRESS: 252, <br /> Z52, 0 (N rct k,v.P.ti )){ ZIP: S S�S C <br /> Will this be a Parde of Homes,Remodelers Showcase Home or other Display Home? <br /> U 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 /> t be allowed. <br /> NAME OF OWNER: ..- \,/\ p) tli-5d 2_61„J V air,rtl y.A t PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 53-0 WAg1./,,A/- CITY: ()I /OzdZIP: -.3--3 5-6_, <br /> CONTRACTOR: c,,l,r ('G' ,v(- PHONE: (o/Z zg�z-/y 9 2 <br /> CONTACT PERSON: Sh a,,,,.,✓ ';'yc__ MOBILE/PAGER: <br /> MAILING ADDRESS: 130 --IcoSSc„✓ i9,- CITY: 5 S f,, ./ ZIP: c5—ti?5 <br /> STATE LICENSE: # '2.0 33 7 5---?-5- <br /> . <br /> ARCHITECT/ENGINEER: jekdn/aes,kiPAJ41J 13e.sovv PHONE: <br /> MAILING ADDRESS: 3/d0 Y5u/Aytia(t Sf,V CITY: /i01/4. ZIP: S'S cj`iy <br /> NAME: j d wi 1 , /,/dem-e,' tY REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition x Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): A 00 n) r •et/ e ir, rSa c/t/,e,/ <br /> STORIES: 'Z- _SQ. FEET OF EACH FLOOR: / 70;CJ <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / ‘ c' <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 st. without a it; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: ,; DATE: /2-k--07 <br /> r <br />