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L Total Fee: $ / Date Received: /7 C 3/ <br /> Entered By: Z f Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print <br /> -all <br /> linformation) <br /> THE APPLICANT IS: (circle one)�OWNERIR CONTRACTOR <br /> JOB SITE ADDRESS: 2-Th5 W ZR T73 ,8 L///, ZIP: 53-3 5-6 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 'N. No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not - <br /> be allowed. <br /> g3a- <br /> NAME OF OWNER: Ver CA-7)/74f) /A)C PHONE:-{home) "1/76 <br /> (work) <br /> MAILING ADDRESS: PD. 6DX 3 75 CITY: Lent' ZIP: 55 35 <br /> CONTRACTOR: ✓�% Cala;TSG Rog PHONE: 9sa V76',637 <br /> CONTACT PERSON: DA- IOC, &N/TE-MOBILE/PAGER: <br /> MAILING ADDRESS: P 0: 60X '25 CITY: 402/5 Lal— ZIP: 55-3 S� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Yle-IA) Riade-e. old 5-tdi/1c9' a-4'4 <br /> -nP /l she16 le s oAefeeteA, ems° /urn lv� <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,61 900 e 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: ,,(1. /-7z-r04`---- 1 // DATE: ja 'a 'G <br />