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V. GJu x (� IP(PL.C' <br /> Total Fee: $ 5-L �Q� Date Received: <br /> Entered By: y._ \ Pe4it#: / /g/ () 3 <br /> • CITY OF ORONO - BUILDING PEttMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------- ---------------------------- —_------------- <br /> THE APPLICANT IS: (ciirrcclle one) AVNERDDR CONTRACTOR <br /> JOB SITE ADDRESS S''S u 0 id(d y s 4 ( Bal led A) ZIP: 63-3C-1> <br /> Orcv► 6 M <br /> Dr.no 645€1o.0 Assoc-icu of <br /> NAME OF OWNER: -/o TWA Pa.f�„�yc,,,�s I� PHONE: (home) (l 2 'I't Z- q3 d l <br /> C J s3" 54nle Lam.-6(A- (work) 4,i z 33.1—q cat) <br /> MAILING ADDRESS: Akcioi /'(e r, CITY: /Vi ZIP: 5-S'3 s <br /> — Vc' Jt=rde G1z - 32S - 02,31 <br /> CONTRACTOR: ClYliAlit Y4.-( f7(4,1 Le i ; j�c. PHONE: 800 - `� YL — U1-t'0�y <br /> '` <br /> CONTACT PERSON: Pc' J' �5ec.M r 1 MOBILE/PAGER: Co Z - 2-)ci - (r�() 7 <br /> MAILING ADDRESS: t 2-61Z4-1 t - Sf. kcice r CITY: m/j ZIP: 30i <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER:6 YL.“/1t d uk 1; 1 f S Zig PHONE: g60 - Z, - (t 0 9 <br /> MAILING ADDRESS: Sc Q CITY: ZIP: <br /> NAME: `; E? REGISTRATION# <br /> TYPE OF WORK: New Addii <br /> Move Remodel/All _ <br /> 9 <br /> PROPOSED WORK(describe in detail): cunt t`w` '14 <br /> e_cf <br /> c+r J � Cu.rlS cv, t,e Ioettil <br /> Zc 41 <br /> STORIES: / SQ.FEET OF E (p 2_ -3,4 ) S � gL q] <br /> NO. OF BEDROOMS: GARAG: <br /> ESTIMATED CONSTRUCTION VALUATI i' IIS Oz.) <br /> I hereby apply for a building permit and I acknc ,tte and <br /> accurate; that the work will be in conformance Ld with <br /> the State Building Code; that I understand this is not a p.rmit and work is not to start without a <br /> permit; and that the work will be i accord. ith the approved plan. <br /> Pr . <br /> APPLICANT'S SIGNAT ' . i ,�,,;�� DATE: 111 C G, <br /> NOTE! Parade of Homes events require separate , rmit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />