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Total Fee: $ 409.(c, Date Received: <br /> Entered By: z4. Permit#: 1/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> `) e. it fationYr--4 IrZrli C- /) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: / / 3 0 0 1 a CI) Y,T/I� : ,5-75-3 9/ <br /> NAME OF OWNER: /7, C D L VEL PHONE: (home) /7 3 cl y 9 7 <br /> work) <br /> MAILING ADDRESS: //3 0 o.ed 77VCITY: 0/3 d/1/c, ZIP: ,..ST5-.39/ <br /> CONTRACTOR: k".--_ / /0 6h/ e d ryli / PHONE: ‘/-2 " �VX-C3---C3 <br /> CONTACT PERSON: 19E-4-61 )�<4 62/MOBILE/PAGER: 3G 6 - 14/ I <br /> MAILING ADDRESS:,1 7 7 Y/ 0-.4, CITY:;7 A W ZIP: ,S-Se, �D <br /> STATE LICENSE: # ,3�6f ( <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure �( <br /> M ve Remodel/Alteration Land Alteration <br /> PROPOSED WO n �es r e in detail):, , i �-C c2 <br /> /G *1 a.'CX <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> OD <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ j O o 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: f7 + DATE: S'^ 2 �� <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 />