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�~ ;�'/ Date Received: �-,��.- Y � <br /> Total Fee: $ /�� <br /> Entered By: ,� Permit#: //��J�3 <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ----------------------------------------------------------------------- -------------------------- <br /> z--_--�-�_=-_--.-�-�- <br /> THE APPLICANT IS: (circle one) OWNER f�CONTRACTOR�j <br /> �_._.__._ _ _---------_ .,..,— <br /> JOB SITE ADDRESS: C��(U .5�'�� ,,�1ao� 1`-�' ZIP: <br /> NAME OF OWNER ��(v v✓� s�.r.'o��1,sv ✓1 PHONE: (home) `'r�1"' d�(L�g <br /> (work) Il%{� <br /> MAILING ADDRESS: ��-��— CITY: ZIP: <br /> CONTRACTOR: �u:�5�t��-E^= C�:-� �.�� PHONE: �1� - �3'�- ���� <br /> CONTACT PERSON: T��GO �r�y�- MOBII.E/PAGER: ��a r+ti-e-- <br /> MAILIlV'G ADDRESS: P� ��c �--t-t�E:_3 CITY: ��J�n/ICJ w� ZIP: _`��z-!`f �7 <br /> STATE LICENSE: #��b'7��-( <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition�_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,C�- , ,n ��tilc,loSu.� v � ' iSf-r�� G��~, <br /> l�l � �-1 <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> cz- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `'lSC-�<<� <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 /> APPLICANT'S SIGNATURE: � G��- DATE: y � / q� <br /> NOTE! Parade o�'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 /> 5 <br />