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Total Fee: $ S y�/�. Z�3 Date Received: �'- q-�`f <br /> , Ent�red By: �C� Permit#: �078/O <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print all information) <br /> THE A.PPLICANT IS: (circle one) OR CONTRACTO <br /> JOB SITE ADDRESS: �.5�/�Z �c�.--,�.5��,� Lc;�+,�-� . ZIP: �,-`�;-_� � C� <br /> r� <br /> NAME OF OWNER: —�u�n ������T�e� �,c,:;�nE_� L��PHONE: (home) <br /> (work)G�,� - �-�-�.�-- I j-1 I <br /> l�IAII1ING ADDRESS:,�1=�(`C` �'S��� v �'�t r�� CITY: �'r�� �-�C� ZIP:f���� <br /> CONTRACTOR: :_ I����n I-�f�c���c� ��c t���_s l_i.L'_ PHO�IE: C�5��-`�13-�-1 / <br /> CON'TACT PERSON:. ' r • �;,-�� MOBILE/PAGER: (�(� -��;� � �L{�i <br /> MAILING ADDRESS:.�. �'C� � � �� �- r "��<<� CTTY: (�'ro n � ZIP: �'�= � _ <br /> STATE LICENSE: # 13C: -��^.��� .�'; <br /> ARCHITECT/ENGINEER: hlc�rr-� s !�rc�h ,-�'�c'f:� PHONE: C�:/� -.33�-T 'a�/c'i'O <br /> MAILING ADDRESS:3�i :S�c'c,,-,c.�l,�.�Vc #:�oo CITY: ��%s , �'�'1,�' ZIP: ���i <br /> N�l�1E: �Tz�c�.-� �r. `.^ `���h r� f-J«r,��� REGIST'RATION# :��� ('�: C:'_3 _ <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � t ,-�-, b �� r� ��"'��'��� ��'>'1�- — <br /> STORIES: � SQ. FEET OF EACH FLOOR: �Yic��,, I�o/ — �c+u,jr°�- !�9 cc� <br /> NO. OF BEDROOMS: � r?-�c�.::,-, GARAGE STALLS: ATT. � DET. <br /> :� Lo�L�:- <br /> ESTI�I�LATED CONSTRUCTION VALUATION (excluding land): S ��_`� ��'� _ <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 /> ,� � <br /> APPLICANT'S SIGNATURE: /�i.��� �,�,��� DATE: � �/����� <br /> �e�pif'� ���-zr�'!' ° <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 />