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t • V <br /> Total Fee: $ n '� Date Received: � - -Q� <br /> Entered By:� n n � ��`a'1'> Permit#: � U(�D�7 <br /> v <br /> CITY OF ORONO - B DING PERNIIT APPLICATION <br /> _ � <br /> All information must be submitted in full before plan review will be st�rted. <br /> - (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTO � <br /> � <br /> JOB SITE ADDRESS: 31 b�� � !Q�-1 G�c�D�D �i/��L� z�: <br /> NAME OF OWNER:��d--�/J�L�/ L' �{5/�/AI PHONE: (home) 9,�,z- y yy_ ( $�/ <br /> (work)���� �,�6 / <br /> MAILING ADDRESS: 3�(1 C► �/�Gk���OP ci2f.tk!CITY: (,Ro,�u� ZIP: <br /> CONTRACTOR: �f�,Eo P,�AI��E Gvr��Sl�v��`��rN PHONE:_q5 a-yo 2 - �� ��� <br /> CONTACT PERSON: R n�-E/C xv�c�i�E MOBILE/PAGER:�s� -��a�� S�S� <br /> MAILING ADDRESS: `??6T GA�Cnr�t,lpw �N� CITY: �IJ�rv P[,�jQ I'� ZIP: sS�'yd <br /> STATE LICENSE: #�c� / <br /> , <br /> ARCHITECT/ENGINEER:�1qk.,�1 G-l9�GiI,Q►s D��//,n1�5 PHONE: �S�` �0/'z/S,3Z <br /> MAILING ADDRESS: �.3S3S" �i��ow� T+Q��-CITY:S ��✓Uo N ZIP: �'f33'1 <br /> NAME: C AlpRr%yA�—� REGISTRATION <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �/JPD�-T� 17?l4 5 9�f/Z f3�q-�=la � NJ'�ST�� <br /> ��� 2v n m — l�a 1� - Nfui fv.-L L B��N' -m��« Ex rsr��� /3�X �►;..� .� �a-tN <br /> ..1!YWi� /U�� L1/ �w0(/i.JS ��rJ (�L'D 'Cis� ' Futc. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �02 E� D O <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: 9�0 DATE: /-.3 f-(j� <br /> � <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 />