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, . . <br /> � , � �, ,-; i <br /> , .- �: <br /> Total Fee: $ , �` Date Received: / �? l'� <br /> Entered By: `���� �' Permit#: `; � 1`� <br /> �� <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 /> - <br /> ----..�____._ ,__.. <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR �-_., <br /> �-___________------- -� <br /> JOB SITE ADDRESS: � ► �=•�� /�u=� i+u��P��t�; ��.: ��I ZIP: 5 S 35�. <br /> NAME OF OWNER: Tt '�-� �–c�V,;`i�� PHONE: (home) 4 7 7 - 7 5�I <br /> (work) <br /> MAILING ADDRESS: Z I �,C ���/�t�n�s� (,+�,�y CITY: �Cc ti� C-���ZIP: 5 5 3 S Co <br /> CONTRACTOR: "���.ti�Y�i��st�=�-DCS��ti�� �.��zc>;/��r.PHONE: �7Z��'–/53C�- <br /> CONTACT PERSON: �(/�� �i w�f�T MOBILE/PAGER: '-�z� �S��7 <br /> MAILING ADDRESS:�2I L E�'�c�t-� CITY: r��i n ,-� ZIP: .�;5-�-�C�- <br /> STATE LICENSE: # �-- �<._�4 �'w`� �s, �`�'_':�'' �1 Z t- �`r�'� <br /> 1-���:;:rA�� (�i t� b Y 2 - 3`1 C�'� <br /> ARCHITECT/ENGINEER: L�N� S;-��as�;;�►�,.- PHONE: 7 z11--– Z 5(o �', <br /> MAILI'�i TG ADDRESS: ��z.�j ��E�� 1.� `x, . CITY: /<-1�'c 5 ZIP: `�-- �� <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition_� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ,�„c�i_ 2i-1��f� �->>�)r c�-�.' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: — GARAGE STALLS: ATT. �_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ d L ��c� �: <br /> I hereby apply for a building pernut 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 /> ' -~- � '~� �t.��/ DATE: �� Z1� `�� <br /> APPLICANT'S SIGNATURE: ��f'l� � <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 /> 6 <br />