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py Dc '- <br /> Total <br /> Fee: $ Date Received: /U'(Y'- <br /> Entered By: Permit#: yn p&cA%3 <br /> CITY OF ORONO - BUILDING PERMIT APPLIC • "ION <br /> All information must be submitted in full before plan revie will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER%° CONT ' - CTOR <br /> JOB SITE ADDRESS: air• ORCt}/ J /W.Y ; RD ZIP: S53S(0 <br /> Will this be a Par de of Ho es,Remodelers Showcase Ho • or other Display Home? <br /> Yes P7 <br /> No yes, a special event permit is equired with Police Department and City <br /> Council approval 60 days prio to the event. Non permitted events will not <br /> be . llowed. <br /> NAME OFOWNER:MMIt-5 \\bill �S °F JttNET E \N & HONE:-(home) OISZ-g76-O373 <br /> \\ ,�^ (work) ciSZ q33-273-7 ex4-• Z3o <br /> MAILING ADDRESS: 500 O12 H A pPriet t CITY: LONG LA Kt ZIP: SS .(4.. <br /> LadatAs ® toe.11 d7.OVI wi 0.tic .CDwt <br /> CONTRACTOR: JEL-F\ PHONE: UU <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 5E L F PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition \ Move X <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 1O L1'(- NEW -FO 1 AT1 O N SND MO Q <br /> 140wt•E fR20w4 EXIS-rG S ITE *o CEN re le_ OF Pizo 7Ei'* ' <br /> STORIES: I. SQ. FEET OF EACH FLOOR: 720 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 12- 1 0 0 0 <br /> I hereby apply for a building permit and I acknowledge that the information above ids complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with\the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE:1/44W .047 41.0 A,w DATE: I o/ie/2001 <br /> Aipsk-4,ckver- `o4/gM <br />