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, Total Fee: $A 9v. DateReceived: i_3; `` <br /> Date Approved: <br /> Entered By: f' Permit#: , ", <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER OR(ONTRACTOR <br /> JOB SITE ADDRESS: (J SQ OLD CMZ./S T0} <br /> NAME OF OWNER: Le-Kt_----(,t)0 LOP PONE; (hom.e) <br /> it) work) ' 73 — s 8 d <br /> MAILING ADDRESS: Iv �E &(JAYZ.AM CITY: " 7Zf}7 ZIP: s 53y/ <br /> CONTRACTOR: LAKEL)ooD DE U5LofM BONE: 4`<-73--2-598 <br /> MOBILE PHONE/PAGER:/ `Z W�I'`/`f <br /> MAILING ADDRESS: /v2/3- f 7 T / <br /> Y: (,uf} /2 Aril ZIP: SS <br /> STATE LICENSE: # 7a 3a <br /> ARCHITECT/ENGINEER:Ii1)N E TOIUKfi IC AHONE: 93 -7q'/O <br /> MAILING ADDRESS: rO ff.2-iv CITY Uh14 S IVZIP: <br /> NAME: t://...E REGISTRATION # <br /> TYPE OF WORK: New >( Addition Accessory Structure <br /> Move Remodel/Alteration Land <br /> Alteration <br /> PROPOSED <br /> PROPOSED WORK(describe indetail): A7 -6(.) a,u,s7Wu C7!0N `?DH <br /> STORIES: / S FEET OF EACH FLOOR: 'R/60�60/4/6/A/ a Z3 1.3/SIS ��? <br /> NO. OF BEDROOMS: . GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 geD v 0 0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work w'll be in accorda ce with the approved plan. <br /> APPLICANT'S SIGNATURE: 4IDATE: 7 <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 /> 9 <br />