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<br /> Total Fee: $ ��� Date Received: �� �� � �
<br /> Entered By: !f 1 � Permit #:
<br /> �CITY OF ORONO - BUILDING P�F,RMIT APPLICATION
<br /> All information must be submitted in full before plan review will be started.
<br /> (please print all informaiion)
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<br /> ,-� PPLICANT IS: (circle one)� OWNE1tZ1R CONTRACTOR
<br /> � � _.�._�
<br /> .,'� , _ ,, _
<br /> JOB SITE ADDRESS: �j�� .Sc'r����S/G�.��C C %� c�L�' ZIP: ��3�-.Z 3
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<br /> NAME OF OWNER: �,l��h ,���o`��v�cc ��r.,es- ��C PHONE: (home)�5-����3� �� S��%-���
<br /> (work) ��,r-,�
<br /> MAILING ADDRESS: 7)�/5 �-���r;t C�. CITY:�1���,;��,:;:,, .��,,,ZIP: �5�� ,��
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<br /> CONTRACTOR: . 1c�e J /,� � � '' �
<br /> �a^� c%y'v��r��� �.�s � � PHONE: �/ ,3������-�'�
<br /> CONTACT PERSON: /,=-,;���o �/��sT�d,r� MOBILE/PAGER:
<br /> � MAILING ADDRESS: 7��, � � , � ,,_..
<br /> � f rl�r��� 1���r CITY��!';���„��� ��i.� ZIP:_� i/
<br /> a STATE LICENSE: #,L3�� �03 9�i G�'j
<br /> —� �J�--r,-��, .J��.-��'.�T C�i� �3�� �5�/i�'
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<br /> ARCHIT�CT/ENGINEER:��/�rj��/�-���j��-;� PHONE•���' 3 3 9- .z/ 9�`
<br /> MAILI�GADDRESS: ��r'�5���;.,��'.��,,rti's :;�i<�1�>c, CITY: -zr ��s ��%, ZIP: .r=�; 7..�-�i��l
<br /> NAME: �a S o�� v,_-- ,�G��v� f-/��.--�i 1 REGIST TION# ,��,2C:�� �
<br /> TYPE OF WORK: New .,� Addition Accessory Structure
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK(describe in detai�: �?�- S��!��.�-� ,�� �,�ti ,��,.��� �:
<br /> i�
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<br /> STORIES: �.2- SQ.FEET OF EACH FLOOR: /0 7 i /`'-'"'"' ��/✓�`��`�'`' ' �
<br /> NO. OF BEDROOMS: _3 GARAGE STALLS: ATT. � DET.
<br /> ESTIMATED CONSTRUCTION VALUATION(excludingland): $ ,�Z_3C% � c>��=�, `�'
<br /> I hereby apply for a buildin�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: "`�..z �� � �
<br /> ` '"�' DATE: `�- �/ G� �
<br /> j,Y�,�/� �-�
<br /> NOTE! Parade o Homes events require separate permit approval by Police Department arz�
<br /> City Council 60 days prior to the event. Non permitted events will not be allowed.
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