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• <br /> 3 <br /> o <br /> Total Fee: $ y I Date Received: 4.1 0 C, <br /> Entered By: 1?O I Permit#: (ti'2 0/03 <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 APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: WO Old. (j.Lq�tfloRJ 3, ZIP: 53 31 I <br /> J <br /> jA) L1 z,CCt .) jei 11/ • <br /> NAME OF OWNER: —Eaft Iilard± --- 'r ti up PHONE: (home) CIS-Z- J 3- 3s---10 <br /> (work) <br /> MAILING ADDRESS: gq(' 0 6at P-Rm CITY: etts cdta,, ZIP: QTc 39 1 <br /> J • <br /> J <br /> CONTRACTOR: Ma4(kso bin.Sthif , PHONE: 1,951 -c2 I 3 - /03q-- <br /> CONTACT PERSON: it I IOBIL i R: (Q!2 327- 7 cf-7 2_ <br /> MAILING ADDRESS: 22j ( r . -} L CITY: ZIP: 55 O 13 <br /> STATE LICENSE: # 3(. - 4 pa(05/5 S A <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): �,e M , ` &/-1 . afttze <br /> Oei r6-0Z, 6-0 — COAD c .- (Lt&e.k. <br /> (J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9/2a) <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 tthhee approved plan. <br /> APPLICANT'S SIGNATURE: /G'�Ci?L DATE: I <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 />