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Total Fee: $ A /-249.56. • DateRecE 1: <br /> Date Approved: <br /> Entered By: 1j . Permit#: '7'7 <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 OCONTRACTOR <br /> JOB SITE ADDRESS: 64-o Olrl ( x(1pTA I (L{ 5 ZIP: 563 <br /> NAME OF OWNER: L tPHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: L C Lei_Azzx d Dev 1 r :\+ PHONE: Col z 4-3 958R <br /> MO ILE PHONE/PAGER: 4 r4cict- 41.4 <br /> MAILING ADDRESS: t oZ 1 oZ 41 ,„),,_- CITY: LC , ,vr, ZIP: S3`1 <br /> STATE LICENSE: # 000-3-231- <br /> ARCHITECT/ENGINEER: (Y)k n n La_\) r\ PHONE: ?3`i `-4- *a <br /> MAILING ADDRESS:'O LLD. R°14\ - gnyl6_55PnZIP:S5-,3r1 <br /> NAME: Ly e REGISTRATION # <br /> TYPE OF WORK: New (` Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): «, < <;„ �t , <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: l42_4 %-e '2 t 'sY(.'° <br /> NO. OF BEDROOMS: `A' GARAGE STALLS: ATT. 3 DET..? <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1�i 003• "— <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'. be in accor►ance with the approved plan. <br /> / <br /> APPLICANT'S SIGNATURE: ,WS„,: ' , � �� DATE: 3- ?CE, <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 />