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Total Fee: $ a 5 Co-3 Date Received: `7 -II-0 <br /> Entered By: i2)0- Permit#: A-0 '3 S'Q/ <br /> CITY OF ORONO - BUTIMING 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) MI.E1-- )413. CONTRACTOR <br /> JOB SITE ADDRESS: /..N Orao, G Ql®?o, /h/r/ ZIP: 6-5-37/ <br /> ill <br /> -�i NAME OF OWNER: / ev M /R 770,-1/43 PHONE: (home) rSZ -975"- 1 , <br /> (work) 6/Z -3119- cf�2o <br /> MAILING ADDRESS: /38S O' i Lam-,< CITY: /hN ZIP: SS 9/ <br /> CONTRACTOR: Off PHONE: G,r/ --6 ' - <br /> CONTACT PERSON: ,r d; `j040,64, MOBILE/PAGER: <br /> MAILING ADDRESS: /9s /1/,/-f4 T, CITY: If /&/ AN ZIP: _5-5704/ <br /> STATE LICENSE: # zaot 5,7 Y3 Fh�.-�9,. D�p� /2/3i/at I <br /> r/3-1, 7io3 Cfa2- 2203 <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 Ain detail): /'e . / e/ o/d <br /> v. �� jc.4. �/ /4...„e -14.6nr-, G✓'// t ' .14" � F.,d /z)5( e. <br /> ,ns CokenS , <br /> See dew,.ve.9 t/a/i4vec ,��a f , /A✓ j/ea f 4e/4 / <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ado 040 <br /> r\CI 4 _ 2ioy b <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: kA. DATE: z/2/-t <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 />