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Nov-30-2404 09:05am From-CITY OF ORONO +9522494616 T-243 P.002/003 F-359 <br /> ii <br /> Total Fee: $ 0 3 /C <br /> Date Received: o� �'C <br /> Entered By: 0 <br /> Permit#: C10 y S , <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 OteCONTRACTO <br /> i <br /> JOB SITE ADDRESS: S`i 5 4111b . r• . -....A . 0 ZIP: _S s 3 5_J. <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> D Yes E. 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 /> NAME OF OWNER: k)o n,-i Alia (4-e e. T_ ES PHONE: (home)95 Z-Nm 3-l)30 <br /> (work) <br /> MAILING ADDRESS: 5.5 yysh, .11,..., 12.an CITY: Lags,►_..K,- _ ZIP: cs 3 S c <br /> No. <br /> • <br /> • <br /> CONTRACTOR: C,..,41p,,,,K ---- u,(� PHONE: (,s i-kitto-moiEB ' <br /> CONTACT PERSON: TrAti i a -rk 0►7. _ MOBILE/PAGER: ccs 1 - t c z - .8 a 5 <br /> MAILING ADDRESS: 's(e �£ T cry i7I1 ►N CITY: IJP IN, gr; ZIP: _1-.-.1.' t t <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: _CITY: I'' I <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure i <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> a <br /> PROPOSED WORK(describe in detail): . ,u . - (Z _ . 2 , , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Os-l• a 6 <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 /> { <br /> APPLICANT'S SIGNATURE: .�.a..'• _L" .1 DATE: <br /> / <br />