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Coil CO0A-A oz-d <br /> Total Fee: $ Date Receive : 17-1-03 C1-2-16Entered By: Permit#: (,ctiiy <br /> l" <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. " '5 <br /> (please print all information) • <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: O '0 ruo H t G1-1 S C Si o o L ZIP: <br /> NAME OF OWNER: O Az 1-1-0 S D f= LL PHONE: (home) 7(0, 3- Y7 9-2...0 2-y <br /> (work) qSz- Y Y8 — ?ai7 <br /> MAILING ADDRESS: S-(Qo y c k Sir CITY 4,4k 44-a, ZIP: S 3 <br /> CONTRACTOR: ©2n.L° s.or�3,a.(A. /y55oc. PHONE: 76 3-Y7f- <br /> CONTACT PERSON: go 6 Ig chi tie SGC c c MOBILE/PAGER: 6/2--70 3 =3 20 z <br /> MAILING ADDRESS: .5-7(.�0 ?o Y'c, CITY:/1/t O ZIP: 3 3 s 9 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New L/ Addition Accessory Structure iihet7 <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): (3vf0 A- S+^-A4-&- 01-1C/ Si d/'G''C <br /> / 'rc AU A-€L)cT 71.1 D/1.),ti0 67 (5 A <br /> STORIES: i SQ. FEET OF EACH FLOOR: L GO <br /> NO. OF BEDROOMS: • GARAGE STALLS: ATT. DET. <br /> o3 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ [d0 o <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: Rte- DATE: 7- 2 I -493 <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 /> 5 <br />