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Total Fee: $ -74, /J' Date Received: S / <br /> Entered By: ci, Permit#: 1R0 ail lD5- <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 CONTRACTO✓ <br /> JOB SITE ADDRESS: SCO C,f'p'A/ O.Pex'4,-,/dev ZIP: 5:5-_35/ <br /> NAME OF OWNER: -5 tee- C., 5-t)e./77-e-<' PHONE: (home) - 173- <br /> • (work) <br /> MAILING ADDRESS: Sa) Q,va c2)'ee6''9'e 'CITY: eneGvz/c ZIP: 5S 3?, <br /> CONTRACTOR: /22.6= zz)e i J�`i��d'�. HONE: 95-5- <br /> CONTACT <br /> 5 S-CONTACT PERSON/)2X.e. rev ' MOBILE/PAGER: 5 9C- 7/ <br /> MAILING ADDRESS: //7z5-zr eci CITY: / 9/e7 cr.,ZZIP: 5S 3 a,-? <br /> STATE LICENSE: # 3 .,//2 <br /> ARCHITECT/ENGINEER: �,�, ,,.10 rsc,•q �S;.t* PHONE: 954/--- 7' C <br /> MAILING ADDRESS: 3,0"-Gt2- "157-501,rc. 2.40 CITY: C?/ ';, 4 ZIP: 5-55// <br /> NAME: -- REGISTRATION#0.e, .v'4-1° <br /> TYPE OF WORK: New Addition __Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail)( /z/6e✓ .4)de/,'Tion • 722 <br /> i94/5 e�i�/ " <br /> /Pea/ ICU€',t 9` ' Z' "oo/i <br /> STORIES: / SQ. FEET OF EACH FLOOR: /V'0 5 y Fr/}1.41, e <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. 2( DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 46/4a(3 <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 "- 2 1, " DATEy —/S' ©D <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 />