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Total Fee: $ ?33.3 : Date Received: /0-/ - D Y <br /> Entered By: Permit#: /4080da- <br /> • <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 APPLIC• ► ircle one) OWNER I R CONTRACTOR <br /> 800 b Lee La.r(s on - e-415 <br /> JOB SITE • I !•'.• SS: /030 aCd1 (ii.y 5 gem., 1.9. v' d ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [ 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 /> Try ( J L4A �wt 5 <br /> Oren. <br /> NAME OF OWNER: Oreo ba se 4-cc sc-i 4.4,` PHONE: (home) 169 3 -474 - 3242 Z <br /> (work) Co( 2 - 3!00 - 3 <br /> MAILING ADDRESS: 1015C S1--evle G . CITY: /462,e(r P(a."1 ZIP: <br /> A 1. Cot <br /> } C 0CONTRACTOR: t0wvSd <br /> PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: (o( 2 -ct l0- Szgs— <br /> MAILING ADDRESS: /68o C L.a"+a�.CeAve. CITY: C.4311,n e N1 Al ZIP: SS 3 Zz <br /> STATE LICENSE: # V <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure X <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1,avt S1.4- Z Lase WO eLu1 p 1.4445tA <br /> -{v p 51AI.10,1- (3 ( /2-eSfi Yg71, J fr..4n/tiat <br /> 161-1414 ut A. ' ig ho . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3130 K 2 = - (O 2.40 `2' <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 wi �, the State Building Code; that I <br /> understand this is not a permit and work is n t to start with '-rmit;and that e work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: l 'A I TE: q/i o d`1 <br />