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. Total Fee: $ 3' 3 Date Received: / -/,3 -q 7 <br /> Entered By: Permit#: ??C' 2- <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 ORCCONTRACTOTO <br /> JOB SITE ADDRESS: 180 c RoNO O U-A Rj ZIP: S5-5 I <br /> NAME OF OWNER: j e go f'K PHONE: (home) -(5-eZ-7 j <br /> (work) <br /> MAILING ADDRESS: ISO °oKo a L14 f)rD,CITY: Oco"O ZIP: X5391 <br /> CONTRACTOR: JOHNjDK -LLZ-fts 1)eS160) 5ttil►- ) PHONE: in - II�{ <br /> CONTACT PERSON: P+�1 -ate MOBILE/PAGER: q 56T �L�f <br /> MAILING ADDRESS: ';2118 t',o�..( F AV CITY: MIT 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 >k Land Alteration <br /> PROPOSED WORK(describe in detail): fEmot>s t_ (9c-vt1 .1 .e <br /> T. Lc-x.1- £ Nit Zinn R►5 Pc,g. 5 KE-T&4 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 101 D a •oC> <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 accorI .n e with the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: //3.7``—77 <br /> NOTE! Parade of Homes events requ' e 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 />