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Total Fee: $ 30(-1 . 5) Date Received: AO 5 3G, 9 <br /> Entered By: m_ Permit#: <br /> 1111 (//62--- <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: 320 O O'/ ) oiee/1'41M RO ZIP: ..r3 9/ <br /> NAME OF OWNER: Stir11-01/N .5, Rff� f PHONE: (home) 5. z t/?.? ,(2o9 <br /> // (work) <br /> MAILING ADDRESS: 3Zo a2 av o o2cAllied,4/L1 CITY: i(1nerF ZIP: ,.5'3)9( <br /> CONTRACTOR: i71-1*D &Jet- 11 4/2— PHONE: ?5" Yoy. D(0o <br /> CONTACT PERSON: R t2/[ CARL—son.) MOBILE/PAGER (Q(i ('SO, y oo <br /> MAILING ADDRESS: 15D .�. 2.2090U U CITY: w /g lSyIL- ZIP: 6'539/ <br /> STATE LICENSE: # z 0() ?'/2 ( <br /> ARCHITECT/ENGINEER: i/,4- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): mop Fav) CZ- 091/117 6i/14Y/Ir- /idi A/ <br /> tWo N 'c)- )too/ .ft— �EiPPrce Fiy,1r // <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /Q/ Da-z? <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 <br /> with the approved plan. / <br /> APPLICANT'S SIGNATURE: z� l� �Q--Cr DATE: 7/41 Z-- <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 /> 5 <br />