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-Total Fee: $ Date Received: b ) 10 i <br /> Entered By: .G/ Permit#: 909 56 <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 ORgONTRACTOR) <br /> JOB SITE ADDRESS: © 12.0 b / l 6/f 5c-c/o O 1. ZIP: 5 5 3 SC <br /> e tl Y s 74 c. 64y (1-0,1,0 <br /> NAME OF OWNER: 0 AD N) S Cr/-0 0 i/s /S 1) //-2_7 S PHONE: (home) <br /> (work) cp./ q - 3 3 _ <br /> MAILING ADDRESS: (0, _S- ©L b CZ-y 7,r1� CITY: to G L�4 KP ZIP: 5T 3 J L <br /> y tiok► <br /> CONTRACTOR: ni S n o u�iN�� //a< , PHONE: 7 80 - g J z il <br /> CONTACT PERSON: eies h Y set ✓3 e,L ru>`MOBILE/PAGER: (070 - 75t o ' <br /> MAILING ADDRESS: ((o 13— "/ /1' 14Ade CITY: 6 c.,4 pve wN ZIP: 5S YYy <br /> STATE LICENSE: # ,/4- <br /> 1?.H4- /1-2rf/7ec-es 3-N-6, 5-6-0)g <br /> ARCHITECT/ENGINEER: V i u')Re kc S o c/✓r-7 t S PHONE: 11.7 Y " 3 7 7to <br /> MAILING ADDRESS: Rol 5! eS7 6,Pit Pr/AlPr/Al YICITY:57, C&JO ,.' ZIP: sb 30/ <br /> NAME: l&?/) REGISTRATION# I'-'1y 07 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 12-e eo v e W m 2r'i4A-ce a 00 C X9,4 /415 o c 7'- <br /> 0r' 10110 /2"vr SCC7'o is C OH <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 17/) 0 Ci o, v u <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: (//6 /f <br /> NOTE! Parade of Homes 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 />