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Total Fee: $ Date Received: -7q c� <br /> Entered By: Permit#: 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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: C86 (. (LL01,) AR-. S .6eQW N 0, ZIP: <br /> Will this be a Parade.of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 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: In kc ft /L i4R5t'n! PHONE: (home) 4,42-45149-3?- <br /> (work) <br /> MAILING ADDRESS: &8o WiLLow i%->5.Dkb CITY: BPzvLjv ZIP: SS3 / <br /> 'LbGU`� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: ALr— MOBILE/PAGER: ,q4,- 7 3 <br /> MAILING ADDRESS: /.,rpp_ CITY: - ZIP: S / <br /> STATE LICENSE: # C 26L 721 7 3 <br /> S�rr��*33 3 <br /> ARCHITECT/ENGINEER: P,4UL N&�5,67T (A") PHONE: z - 764-s6Z 6D <br /> MAILING ADDRESS: Av 4XC <br /> ITY: /W-PLS ZIP: <br /> NAME: WAtj> (j5,KJd,.) REGISTRATION# 'q30 5 <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): F_-L_ 0- ti/6 ,T>/r✓�i(JL STORIES: Q. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ _3 30 1 OW.60 <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 thout a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 12,eVq_ <br />