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Total Fee: $ 9 6 .e(0, Date Received: 7/ /99 <br /> Entered By: `1' Permit#: `Zoa q <br /> CITY 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)OR CONTRACTOR <br /> JOB SITE ADDRESS: 6v 69.e4z.`� ®'ems" iltd.10 ‘--'d . ZIP: SS 34'/ <br /> NAME OF OWNER: o'l` : (4--41'" 14 A1°1 1.4&Y PHONE: (home) (/z) 4'73y <br /> (work) (i" 21 .V5 e-3 y4.7 <br /> MAILING ADDRESS: 66' ®'eo''vo 12'zc14`' 'e CITY: ,✓a ZIP: ss 3 / <br /> CONTRACTOR: -- / rie-z-,--y dive.,..-7,_) PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 41,es f.rze Iis vc i tiowS PHONE: <br /> MAILING ADDRESS: We u r<4e:7, Av. CITY:( /rr1-e 7V--/ ZIP: C C . S U i yI <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure ,/- <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 2r. -> 4r 4-0 A-7-- <br /> STORIES: r 7.`- SQ. FEET OF EACH FLOOR: /4-,,✓ G 7 z l"-% 2 1-1 <br /> NO. OF BEDROOMS: f4 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Arr* <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: .., 4 DATE: €1,.,,e, 4. /c,-'c�' <br /> NOTE! Parade of Homes events require separate permit app oval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />