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� <br /> N` J <br /> � Total Fee: ' �� �`��I Date Received: I I-�-(-C� <br /> Entered By: Permit#: 0 $� (p?� <br /> �`� CITY OF ORONO - BiJII..DING PERMIT APPLICATION <br /> ���� <br /> ',��. All information must be submitted in full before plan review will be started. <br /> � (please print all inforncation) <br /> ------------------------------------------___------------- --=----_- -------------------------= <br /> THE APPLICANT IS: (circle one) WNER OR CONTR.ACTO_R�. <br /> JOB SITE ADDRESS: �� �j�1i11�� stf� L��r ZIP: �,S' <br /> NAME OF OWNER: �c�h e fr�r�e� N�m es �L-�- PHOivE: (home) <br /> (work) ��r� -`-�7 3-- (q'1 1 <br /> 1�IAILING ADDRESS:�SDo �C e)12�� a r k►.va�,�., - CITY: [�r v r� o ZIP: ��5 f� <br /> ''� L 1-C_PHOYE: <br /> CONTRACTOR: � o h n �� �rcL►�c�P �l��rn�- q�a -��3- 1�-r'"7 ! <br /> CON'TACT PERSON: �T�e_•-j- MOBII.E/PAGER: (�/c�-3Co(o -�'�'-�� <br /> MAILING ADDRESS: e .- i� CITY: ('ra rt o ZIP: 5535<v <br /> STATE LICENSE: #�'c. �,; <br /> ARCHITECT/ENGINEER: C�r i s ��- �1� i�-�C_-�-s PHO\'E: (c/�,Y ��9�'al g D <br /> MAILING ADDRESS: ' S,�o� � _,�� CITY: ' /S �1 ZIP:� <br /> 1�TAME: C�S ��n V. c � �u � r,^�'.. REGISZRATION# � o� 4� (7 j . <br /> TYPE OF WORK: New � Addition Accessory StrucCure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai : � ,.�0 5�-�C,ru 1 -� a�n �'1�rn� <br /> i_v J�e�^ <br /> STORIES: � SQ.FEET OF EACH FLOOR: (Yl G,i,n I,l�1-f 3 '" 7�-�d 1, (.�`13 4�0 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. <br /> ESTNi IATED CONSTRUCI'ION VALUATION (excluding land): �a :� 3�� �� <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 Ciry and with <br /> the State Buildi.n� Code; that I understand this is not a perm.it and work is not to start without a <br /> permit; and that the work will be in o da �.ith the approved plan. <br /> APPLICANT'S SIGNATURE: DA�: I l ' `�" d� <br /> fb` �e' w`r�e� � <br /> NOTE! Parade of Homes events require se ardte permit approval by Police Deparlment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> � <br /> � <br />