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-7 <br /> Total Fee: J 3 �� _ Date <br /> Entered By: AY Permit#:CITY OF ORONO-AlPERNHT A-PPLICATI—,\ OF <br /> All information must be submitted in full before plan review will be started- <br /> eleP'IOi' aseprintall information) <br /> e_dhac <br /> THE APPLT ANT TS: (circle one) OWNER,ORS NTRACTOV.� <br /> JOB SITE ADDRESS: 147,53 b Y r VE ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Rome? <br /> ❑ Yes [ No If yes, a special event permit is required with police Department and City <br /> / 1 Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: TOM Cor'r,e-LI Seat PHONE: (home)611- 1 73-771/ <br /> (world) <br /> MAILING ADDRESS: L476'3 N Skiyrc 0 r CITY: 7.Yp: <br /> CONTRACTOR: I eYz lr_�rivr ' nG PHONE: -ILI <br /> CONTACT PERSON: t kkdb4ca MOBYLE/PAGER: l -yZ]Y= <br /> MAILING ADDRESS: 715 - yr CITY: is ZIP: 55 .7-b <br /> STATE LICENSE: #_).O 1 5a.70 7 ^" <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP; <br /> NAME: REGISTRATION# <br /> y v T'Y'PE OF WORK: New Accessory Structure <br /> Addition Move <br /> (IfC-m—odeViEteration Land Alteration <br /> PROPOSED WORK(describe in detato: Icy J��ce est f. . (S�Lu/f^fase IU/ nem <br /> STORIES: SQ.FEET OF EA.CTI FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATT. DET, <br /> ESTIMATED CONSTRUCTION VAY.UATION(excluding land): S oZ Il ODD. 00 <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 without a permit;and that the work will be in accordance with <br /> the approved plan- <br /> APPLICANT'S SIGNATURE: DATE: <br />