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To*a1 Fee: $ Date Received: <br /> g Entered By: Permit#: <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 CONTRACTOR <br /> JOB SITE ADDRESS: 12)1,5 G,ADDPh tom- 2. '0 ZIP: <br /> NAME OF OWNER: D- N1,-(-,-%•-.4 res PHONE: (home) <br /> (w( k) <br /> MAILING ADDRESS: 7 C ,(r-en a GC yiettTY: <br /> 1 <br /> CONTRACTOR: \,J M y75cr C__o. PHONE: Lige- o z 5— <br /> CONTACT PERSON: ice-4 MOBILE/PAGER: 7o '1 - <br /> MAILING ADDRESS: 11.75 kJ'I (c.> CITY: S;. et\ML ZIP: 5---1•09 <br /> STATE LICENSE: # i.4 L 8-3 <br /> ARCHITECT/ENGINEER: C t .4 4 A . PHONE: Z2-3-- E1 ) <br /> MAILING ADDRESS: (I7 I- -( 3 CITY: ST•/ c&L ZIP: 5-5--ful <br /> NAME: DPV L.L e scA. REGISTRATION# 71 ( I 5— <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x Land Alteration <br /> PROPOSED WORK(describe in detail): A00 t 0 eL C <br /> E7(TC Roo R"tom- f 01/44 0t ,O roi <br /> STORIES: 27— SQ.FEET OF EACH FLOOR: b( -TOT/44- CrAt PLOolZ <br /> NO. OF BEDROOMS: Lk GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -7CC, COO <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 d. •- w' the approved plan. / / <br /> APPLICANT SSIGNATURE:_... <br /> -`�` // DATE: 10 3 q <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 /> 9 <br />