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� <br /> �g �k �o� i � ld� <br /> Total Fee: $ t �� �y,, Date Received: � <br /> Entered By: ;��� C Permit#: �� <br /> ��'''`'i /C`�Zc� �� �,-� <br /> , <br /> ` CITY OF ORONO - BUII..DING PERNIIT APPLICATION <br /> All information must be submitted in full be€ore plan review will be started. <br /> (please print all inforntaiion) <br /> TI� APPLICANr IS: (circle one) ��WNER OR CONTRACTO , <br /> , <br /> JOB SITE ADDRFSS: ����Q� ��� ;�;�, ��r ���. z�: ������ <br /> NAME OF OWNER: ����l��n��rctint�� ���rn�s���HONE: (home) <br /> (work)�ja -�73 -� i�'-/ � I <br /> NIAII.ING A.DDRFSS: �tic�C.�Efc��l�y �a,-ku..-rt�., CITY: ��ro n u ZIP: �5'3�w <br /> � �-�--C'_ PHOYE: 9� a - �t73 -l9�� <br /> �.'��t���R: � o�rl �c i�CL>>C t; �'�U r)1�] <br /> CONTACT PERSON:J�.E-ni U �T.-�c-f- MOBILE/PAGER: (�i�? - 3�c� �S��F P� <br /> MAILING ADDRESS: =��k � � - �_CITY: �ro rto �: �..��5� . <br /> STATE LICENSE: #�3C d C 3� b� <br /> ARCHITECT/ENGINEER: �-�C�.r r� S -�/'�.f,�-�-Q-c'�-i-S PHOl\TE: -33 � -�� O <br /> MAII.ING ADDRF.SS: 3 3� S�C���al /(� .�e �'�771,1C� CITY: ZIP:��C'�l__ <br /> NAME:��r i V. � �- �-)u h n �J a-:r ,s REGISTRATION 1f d1�(p p_=�_ ' <br /> TYPE OF WORK: New �(_ Addition Accessory Structure <br /> iLlove Remodel/Alteratian Land Alteration <br /> PROPOSED WORK(describe in detai�: Tw C ��r- `T- .�;� � OrY-�� <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: rin u�n - ���l t —a1 r,d i���l -�{53^ <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT: �_ DET. . <br /> ESTI�i iATED CONSTRUCTION VALUATION (excluding land): � ���, G5� <br /> I hereby apply for a building pernut and I ac�owledge 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 Buildina 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 /> ,�—�� ,,- � � -- <br /> APPLICANT'S SIGNATURE: i DATE: �U /S -�> � <br /> NOTE! rade Q�'Flomes 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 />