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i <br /> Total Fee: $ 10 l Date Received: ZO--of <br /> Entered By: M= Permit#: 0.77 Z Lo <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 O' CONTRACTOR <br /> JOB SITE ADDRESS: �S�/ S� G�)r�6� S 6 Dee "0z' —ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes EP No Ifyes, a special event permit is required with Police Department and <br /> City Council approval 60 days prior to the event. Non permitted <br /> events will not be allowed. <br /> NAME OF OWNER 1; tA)`+--S7-jOAnim_ Os�i2d o v✓Z PHONE: (home)V,7' 9 V b <br /> �#/,?/0 (work) <br /> MAILING ADDRESS: c�900 OWA4 ALV S CITY: L S ZIP: _5 S-t//6 <br /> CONTRACTOR: N Aa,,Z1 Ll- PHONE: '7,5;Z- O 5-J'� <br /> CONTACT PERSON: , 2 z v M BILE/PAGER: <br /> MAILING ADDRESS: `f/.2 D SLini2P jiy F_ at CITY:S J %V 2 ZIP: SS3� <br /> STATE LICENSE: # e2 0 33 o5-9-?, EXPIRATIO DA E: <br /> ARCHITECT/ENGINEER:,4PS/� ) 0,44S-rl - PHONE: o,402-7/yd <br /> MAILINGADDRESS: CITY: L') , su,cL,o ZIP: -5'S3- <br /> NAME: Az 71----" REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): �6/VS7/1f/G7S D 'V '�/ tie ',lQ�L;r to <br /> STORIES: SQ.FEET OF EACH FLOOR:�l/�J /od <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 5(o.3 F.3/ 00 <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNAT DATE: �Ilrlol'y- <br />