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TOL <br /> Total Fee: $ /5 7, Date Received: /6/ 9' 7 <br /> Entered By: c- Permit#: 80 7,5 7 <br /> y 0 �/ <br /> CIT 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 OTRACT <br /> �/ 1 <br /> JOB SITE ADDRESS: I 35-5 �l�v r'e Lrh� �I/ . ZIP: SS 3 <br /> NAME OF OWNER: �o�5 \)0L50-- PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 135 S CITY: tufo h o ZIP: 553,7 <br /> CONTRACTOR: k vse 6t4/dermas PHONE: 533-035 <br /> CONTACT PERSON: 40(44*a /2 c-,e MOBILE/P t: 6 70 -S7/7 <br /> MAILING ADDRESS: L/7410 L17--hj 4ve 4/. CITY: / ,4k,ccik (e ZIP: .,,�.5'/2J- <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: -5. 1-vizi.-s-#1- /cIe vs PHONE: <br /> MAILING ADDRESS: e e s 4 v*e- CITY: ZIP: <br /> NAME: filth i•e;1)/ REGISTRATION# <br /> 6,0 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 24d .5Tv.-y a0c% vvuy e_ <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: 92,y <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /0 L// 3 0 <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 DATE: I/lo%< <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 /> 6 <br />