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W <br /> Total Fee: $ 62177. 2S Date Received: tb-2/-0` <br /> Entered By: _ /S Permit#: A076/8 <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 /> --- - ----------------- <br /> THE APPLICANT IS: (circle one) OWNER O1(�CONTRACTOR <br /> JOB SITE ADDRESS: 3a'0 OronO ► drx:Arci. ZIP: 3(:31 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes 12 No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ben Fac- To., roL, PHONE: (home) 47 3 - CP <br /> (work) n{ A <br /> MAILING ADDRESS: 3d-D O(UVI6 OrCI lf;-1CITY: Oran,O ZIP: �S <br /> CONTRACTOR: Q,'�j(), 1 \ enc y 0. _ PHONE:0,5Z " +15 -Z�S-�] <br /> CONTACT PERSON: 1 b ' yam( 1) MO ILE/PAGER: Cr?(2 " 3405- C)i pI <br /> MAILING ADDRESS: -35 Cp . rza, IO' CITY: ZIP: 545 <br /> STATE LICENSE: # EXPIRATION DATE: "- /c5 <br /> ARCHITECT/ENGINEER: P1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition _ Move Home _ <br /> RemodeUAlteration j( <br /> PROPOSED WORK(describe in detail): �1 ),15 ©;,del t on POY' rte. <br /> 1 V-di ATA-1✓� I�.tNIA t)o6 9— <br /> STORIES: !� SQ. FEET OF EACH FLOOR: 05 <br /> NO. OF BEDROOMS: GA '" • • I. £ -� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 15 0 Dec <br /> 1 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 121 V 1 <br />