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Total Fee: $ 01 i5. S$ Date Received: 7—S-- c0 <br /> Entered By: a . Permit#: ,,fin a,L9 9 <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 /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: //D o-�-29 C12y5,g& y 90 ZIP: SSSg <br /> NAME OF OWNER: G z- ISN 60 Le-- PHONE: (home) <br /> z��/-/- k� FI Z - x/78" <br /> MAILING ADDRESS: /Ga OG/�CleV 51#L /AY CITY: ©lr— .,oO ZIP: -1-> <br /> CONTRACTOR: PHONE:_ S <br /> CONTACT PERSON: 1-3:ii3 MOBILE/PAGER: S,99 -Z s z s <br /> MAILING ADDRESS: I V So Z4NT-- v S CITY: /PL yid oy 7,H ZIP:ss y V <br /> STATE LICENSE: # Z D© I 'z 7 8p <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): r.caatil <br /> /.v i37f5EltfCA17- yIOp47-t- 2r3; �AZ 7 zs,J <br /> L�v�LS <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /,0,000 <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 ccordance with the approved plan. <br /> APPLICANT'S SIGNAT �4 j <br /> �Z DATE: 5 G� <br /> NOTE! Parade oHomes 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 /> 5 <br />