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1 <br /> • Total Fee: $ Date Received: <br /> Entered By: ,64 . Permit#: /coo o z_ <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 OR --(16161.., <br /> ``I.TRACTO <br /> JOB SITE ADDRESS: 200 cod k 11 ` ._8J ZIP: S 3� I <br /> NAME OF OWNER: LCC k1 ( çi Q (l& HONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: p{'(,,a.E,C__ TocZ n014 t )CEHONE: "l 7 3 8-0 0 0 <br /> CONTACT PERSON: . MOBILE/PAGER: <br /> MAILING ADDRESS: SGf , \0.(.. rbtITY: (1C, (J ZIP: (c,STATE LICENSE: # l <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): _ptA- i%(\� 23 F A_Sp tA-c- - jOv r <br /> 1b COP 6- A-pi1') St�n/67/ (- S <br /> STORIES: /1... SQ. FEET OF EACH FLOOR: <br /> NO. OF BED OMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2O7 od a <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 a's is not a permit and work is not to start without a <br /> permit; and that the work will be in acc, a. the <br /> approved plan. <br /> APPLICANT'S SIGNATURE: _4fr, iii ,Y 1 e DATE: 1 r0-?S <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 />