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Total Fee: $� c f 1` _ Date Received: 121-29 -z)3 <br /> Entered By: TSL - l—'7-oz/ Permit#: 407132— <br /> CITY <br /> D7/32- <br /> CITY OF ORONO - BUILDING PER`IIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------- ---- <br /> THE APPLICANT IS: (circle one)C L OWNE&bR CONTRACTOR <br /> JOB SITE ADDRESS: /Sn Norll, JLre d r-. W C n e, ZIP: 5 3S7 <br /> Will this be a Para a of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes LJ, No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Nora permitted events will not <br /> be allowed. <br /> NAME OF OWNER: PHONE: (home) 4 7,2 -6 711 <br /> (work) <br /> MAILING ADDRESS: /57e /V—,-A JL,,re .7r• W CITY: 0 re-1 o ZIP: <br /> CONTRACTOR: J l f PHONE: <br /> CONTACT PERSON: 1\IOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECTIENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Bove <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): _'�c'n,-n-i- � ,P c7/}r�/r>, <br /> �•I` ��a�� r �� '( `r�� 00r �� .6c.,'lf n3 can � r & ,-f G �l <br /> // 4Sr�rr' Ff r 'cam <br /> i yr Jtia it b X74 GUS_ Jl�it'�t- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /4 QC'o <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 />