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Total Fee: S //c/ `/C, Date Received: <br /> Date Approved: <br /> Entered By: r2,5''// - ;etc> Permit `: 7g 7/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OR ONTR�CTOR <br /> JOB SITE ADDRESS: 177):9,0 :0(Wq erl ZIP: 3671 <br /> NAME OF OWNER: �( Co {Y1,(\_QPHONE: (home) <br /> nn nn (work) 37( - gaga <br /> IIAILI�i G ADDRESS:,-O COOUR <br /> dh,U CITY: Q)cpZIP: X39 f <br /> CONTRACTOR: G , AdC1–' .'r P kr\Cj1 <br /> 6• AfPOx 7aa 'Tact <br /> lOB 1 Io <br /> ZIP��(d�l <br /> MAILING ADDRESS: 3Oq Sal.\(not -0. S- CITY: Mpl5 <br /> STATE LICENSE: # C'X D1 1-114 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILLNGADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION <br /> TYPE OF WORK: New Addition , i °ccessory Structure <br /> Move RemodellAlteration Land alteration <br /> ail): QVP �A I kADIN • l 01, ft* a o <br /> PROPOSEDWORh(describe in: ,detail): \' � <br /> ,1 �'c lm�. � NV 1-\ S SIA (-4•L $$ t <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> n1 <br /> ESTLNIATED CONSTRUCTION VALUATION(excluding land): S 001 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building. Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ik--,-(2-b, e ATE: ' 2 3—c1C, <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 />