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Total Fee: $ Date Received: 3-(S -U S <br /> Entered By: ©yV.. Permit#: f O 1 oc5 <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 O CONTRACT(2)M <br /> JOB SITE ADDRESS: /gf ORc,1O aRC/799,e4 tf d- ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 12j 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: EL) WA/IA PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 4/8S-04104v ore/b9A93 , 'oAQ CITY: O.P ortJO ZIP: <br /> CONTRACTOR: >4,47 /C, idU,Qf PHONE: 'JZ I- #7-//76 <br /> CONTACT PERSON: ,4/74e/e,- 4/0,e/si MOBILE/PAGER: 6/a-a g/a- 3739 <br /> MAILING ADDRESS: -0-a2 ct#ST. Alt/ CITY: ST nl/CW,9EC ZIP: Sc-376 <br /> STATE LICENSE: # cR dO 3SS/' <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ?op,' 74/?-v/'A' OeLc.‘- ea/yr-2-7,e 6 T//pE <br /> /VEkJ fr4L L EyS sTWCk5 EiriTs' 7'o ecDF)SY/tJ LE.S�SYEI, -c-' wr .ie Aliso c1/141,,00( <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ?5 ., " <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: , , ,G/2t, DATE: 1�..7oos'-' <br />