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/� V� <br /> Total Fee: $ '/ � .`� / . � i�, <br /> � (� Date Received: ���I'l)6'? <br /> En�ered By: �,j�_ C � Pesmit#: �� <br /> -����i �'/zL`/��> <br /> CITY OF ORONO - BUII,DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print ail ircformation) <br /> THE APPLICANT IS: (circle one) ��WNER OR CON'TRACTO , <br /> JOB SITE ADDRESS: �� I ��_�j''C`!���Y't t�. �L��'� ZIP: �S�� -��",-, <br /> NA1ViE OF OWNER: ����I��n�.�rc�•��� ��Grn�<<GPHONE: (home) <br /> (work)9 ja -�f=73 -- r 9� I <br /> 1�IAILING A.DDRFSS: dSC.�C�Efr��/�N P�irk�.-rt�, CITY: ���o n u ZIP: 553�w <br /> CONTRACTOR: ��,n't��n>>c c; ��c���T�� �-�--C'_ PHOYE: q�;�a - �7.� -l9�/ <br /> CONTACT PERSON:�e.�-r„y <T,-�<-}- MOBILE/PAGER:(�I o? - 3 c�tc -r`,��S <br /> MAILII�'G ADDRFSS:, -Kr , k � - CITY: �ro no �: ��<v <br /> STATE LICENSE: # /3C �;G,3�# b� <br /> ARCHITECT/ENGINEER: {�C'�,r r� s -�rC i-,�-I-�.t'•-1-� PHOI\TE: -33 � `.�/ D <br /> MAILING ADDRESS: 3 3� S�C J��a� /��'P �e ��CI�: Z�:�j`�C�'� <br /> Nt1ME:��r� V. �° �- �-J o��n f J G�:r �s REGISTRATION�l o�ai(p 0� ' <br /> TYPE OF WORK: New ( Addition Accessory Structure <br /> 1Viove Rernodel/Aheration Land Alteration <br /> PROPOSED WORK(describe in detai�: �w C� ��z'�i, ���c.v�� h DYl'�'� _ <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: r`M u.�n • i 47 t —Q?nd i C��/__-�53^ <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT: �_ DET. . . <br /> ESTni IATED CONSTRUCTION VALUATIO�I (e7ccluding land): S ���, GrO� <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 /> �--''""`---.,�—� .�,°'�" ,,�,�����' ' � <br /> APPLICANT'S SIGNATURE:� � "'����%�� DATE: �O '/-S -U� <br /> NOTE! Parade o Homes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />