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Total Fee: $ 30/' s' DateReceived: ,g-t, (0 3�' s <br /> Date Approved: Le /Co! b3 <br /> Entered By: Permit#: <br /> LIV)Sol L. 1 17 <br /> CITY OF ORONO - BOLDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED _--� <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: / S 69' /10 e/ kS ZIP: c c< <br /> NAME OF OWNER: S Q PHONE: (home) *7$- Zs,JJ <br /> (work) <br /> MAILING ADDRESS: ��'1p!7 G e&KS CITY: CGS 't ZIP: <br /> ��/ CONTRACTOR: (,) ; L L p ' LS PHONE: 15 Y- /Vdu - &1T- [33 <br /># MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: ,70 / '�, /2411c/ CITY: if) `'*'7 ZIP: <br /> STATE LICENSE: # <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): �� � d`� 7c1 14) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0 1. 60 0 <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 will b: ccordance with the approved plan. <br /> APPLICANT'S SIGNATURE: _ DATE: 4/3 /6-3 <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 />