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Total Fee: $ -�`�y 7 �g Date Received: ��I S �U�( <br /> Entered By: '►�... Permit#: U 7(,P c�?j <br /> ■ i � <br /> T <br /> CITY OF ORONO - BUII.,DING PERNIIT APPLICATION <br /> A11 information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------- ------=-- --------------------------------= <br /> THE APPLICANT IS: (circle one) ��CONTRACTO <br /> -_ <br /> JOB SITE ADDRESS: �2�/G' Sv.•�c� S�Tu � �c�z��.-� ZIp: .� ��-s � <br /> NAME OF OWNER: -��C:,hr�r��,�r,c� ��J��;�nE_� L�PHOiVE: (home) <br /> (work)Ci��� - ���_� ��-1 � <br /> �IAII�ING ADDRESS:,�'.=7C'C� I`S�I I�'v � �t r��CITY: �''r o n C� ZIP:�J�.j k� <br /> CONTRACTOR: :_I��I��n I ���c�n c� ��r��i�s t�C'_ PHO�tE: CIS��-'-�13�-�1� l <br /> C0111T'ACT PERSON:.,,,k?r�rti1 U �J L-�-���_--�- MOBILE/PAGER: (�;/� -3l'�(�: � ��{�� <br /> MAILING ADDRESS:����C a ��1�z�r #���r k�i�c�;., CITY: �,;'r c n�� ZIP: . �� � � <br /> STATE LICENSE: # 13C' -��^.��i �''; <br /> ARCHITECT/ENGI�i TEER: �I�zr�--i s %�-rC h ,�'t'c,�;5 PHO\rE: (�-./� -�3� -�/ci C� <br /> MAILING ADDRESS:3�i :S�c-n,-�d:�t,�-M� �*.�ao CITY: ���(y'/s , .��r1,i' ZIP: ��C�i <br /> NA1�IE: ���c�,� �r. �°,� tiT'c.h r� ���.r��s REGISTRATION# ��� (r.� f�-� _ . <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: � � ,->-, b ����' �%�"c_�.�.--,� �sn� _ <br /> STORIES: I SQ. FEET OF EACH F'LOOR: rY��;��;� !�G'/ — L�u.'r-�' ��9('c <br /> NO. OF BEDROOMS: I rr1�t,� GARAGE STALLS: ATT. � DET. <br /> ,� Lo��;�>-- <br /> EST iMATED CONSTRUCTION VALUATION (excluding land): � ��.� ��'� <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 Ciry and with <br /> the State Buildin� 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: ������� �2�'L, DATE: ��/��% <br /> �1��°%�-�<--����- L <br /> NOTE! Parade of Homes 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 />