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11 . 1 <br /> 'Total Fee: $ I Date Received: /1---6 -10-2-- <br /> Entered By: 0-144_ Permit#: ,GUS-n/ (2._ <br /> CIT ' OF ORONO - BUILDING PERMIT APPLICATION <br /> All info ation must be submitted in full before plan review will be started. <br /> (pl informan) <br /> TRA <br /> THE APPLIC IS: (circlelease one)print OWNERalOR tioCONCTOR <br /> JOB SITE ADD SS: /S 6 J 04)0-c-0o-c-o .vg-Ks itvp ZIP: C S 3 S� 6 <br /> NAME OF OWNER: 3 o /4,1/4- 1,41 de L. PHONE: (home) .3.-)- et>3- ›,,.% -. <br /> (work) <br /> MAILING ADDiZESS: 5/ill CITY: ZIP: <br /> CONTRACTOR PHONE: <br /> CONTACT PE ON: MOBILE/PAGER: <br /> MAILING ADD S: CITY: ZIP: <br /> STATE LICEN : # <br /> ARCHTTECT/E GINEER: PHONE: <br /> MAILING ADD SS: 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): 0/,i V-e- ce-• 4'f to Ext 5 row, <br /> w, <br /> 04,396 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDRO MS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ — <br /> I hereby apply for 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 tle work will be in accordance with the approved plan. <br /> APPLICANT'S GNATURE re <br /> P DATE: /1' Q - o <br /> NOTE! Parade oj'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 /> i 5 <br />