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Total Fee: $ �,�-��'l �D g Date Received: /2-L�-d.3 <br /> Errter�d By: Z � � `d�m�� � ��`��{ Permit#: 1Q0 7'/Z.(o <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please printa//information) <br /> ----------------------------------------------------- ------- - -------------------------------------------------- <br /> THE APPLfCANT IS: �(�circfe anej OWNE R co�TRae�aR <br /> JOB SITE ADDRESS: Z��� ���S�i1i7� �d• �IP: J�53 3 � � <br /> NAME OF OWNER: ��/� � 6rlr' PHONE: (home) �^y��d5� � <br /> fwor�) �63-9`79 6 300 <br /> NIAILING ADDRESS: 2�64 ��A.�`� ,ed CITY:1, siofL ' ZIP:SS33/ <br /> CONTRACTOR: ✓ �L �/��lv�p� PHONE: ��Z"27� � /`�D� <br /> CONTACT PERSON: L- MOBfLE/PAf,ER: �/Z-270 ���'D� <br /> MAILING ADDRESS:3ov w s ` C[TY:�,,,Ei� dAt� ZIP: _5�33 ( <br /> STATE LICENSE: # <br /> ARCHITECT/ENG[NEER: % � J4 � PHONE: ���"' 13`f'�`f�� <br /> MAILING ADDRESS:f�W 7g �! �3v.7� �c� CITY:�1fbv�ja.�N ZfP: 553/�- ' <br /> NAME: L f L,� REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> -------- <br /> Move RemadellAtteration Lar►d Atteratian <br /> PROPOSED W�K (describe in detai�: " h �r�' ��Z �y� � <br /> � /'v f � c.'� <br /> STORIES: '-' SQ. FEET OF EACH FLOOR: �- <br /> NO.OF BEDROOMS: -- GARAGE STALLS: A"f"f'. �- DET. — <br /> ESTIMATED CONSTRUC'iYON VALUATION (exciuding iand): $�/t>5,�DO a <br /> [ hereby apply for a building permit and 1 acknowledge that the information above is complete and <br /> accurate; that the work wilf be in conformance with the ordinances and codes of the City and with the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work witl be in accordanc appro ed pian. <br /> APPLICANT`S SfGNATU : DATE: ��� D.3 <br /> NOT�� Parade ofHomes even ulre sep te perm�tapprnva/byPo/Ice Uepartment and Clty <br /> �ormc�l 60 d�ys prior to the ever�t. 11�on per,mifted event� w�l/not be al/owed. <br /> J <br />