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� Z otal Fee: $ ���L'' � �� , �� �c� Date Received: � p - � p-( '� <br /> Entered By: J � Permit#: �`-�7(0(�2. <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> A11 information must be submitted in full beFore plan review will be started. <br /> � (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> _____- <br /> THE APPLICANT IS: (circle one) �OWNER OR CONTRACTO <br /> JOB SITE ADDRESS: ���v ��-�� S'1 G� Li �r��� ZIP: 5 -� _�� �' <br /> NAl�TE OF OWNER: •�C:�I�lrl�.;-r�:�,-,c��.� ��U��r;�L�PHOiVE: (home) <br /> (�vork)�j�j�� -�7� �� r c`7 / <br /> �IAILING ADDRESS: �?5�'C� �Cc����y �1►-ku�r�� CITY: � r c ,� u ZIP: �53� � <br /> CONTRACTOR: �i���z.rc_r,c c�. �.�t���TF� �_�-�' PHO��tE: �/� ,� ' `f 7 3 -CcI 7/ <br /> CON'TACTPER.SON:�je��,r,y :)v,-�< -�- MOBILE/PAGER: (cI�l - �(�cc -`_���`r�'� <br /> MAILII`TG ADDRESS:;��-„`� k�-1 J��a �c2A-Ku:ri_�, CTTY: (`.'y o r-�� ZIP: ,-r»���;�; <br /> STATE LICENSE: # �C. ��'3���i t�`� <br /> ARCHITECT/ENGIlVEER: �'�r r� s -�r'C_.i-, �-I-r���-�s PHONE: • -3�C/ -�l R C� <br /> MAILING ADDRESS: 3 3 i S�c����d .�=� �f �'�c� CITY:i �, ZIP:� ��� i <br /> N��:�(��1 1/�• ` a- �.J u h n �-•1 c��-►� �s REGISZRATION# r�"�,�„G� � � <br /> TYPE OF WORK: New '� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: `��L��,, ���C�v ���i.�>;� � �Yl'-�'�_ <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: tYtc���r-� � ��yl t —„1 r,d r���I ��53 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � � DET. <br /> ESTII�i iAT'ED CONSTRUCTION VALUATION (excludi.ng land): � ��G�, ����' <br /> I hereby apply for a buildin�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 Buildin� 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 accordance with the approved plan. <br /> � � DATE: /f�- c�% <br /> APPLICANT'S SIGNATURE: /�� ����� C- .� <br /> �!'L��=/ ����.�=�•2 <br /> NOTE! Parade of Homes events require separate�ermit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />