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Tot�'i Fee: $ �� �,� `�, Date Received: �.. /�/-�h Z. <br /> Entered By: r ti'�— Permit#: /�-D �yl � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All 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 CONTRACTOR �C�s�-�_ <br /> JOB SITE ADDRESS: Z��� S NAD��t,t�oo p R D, 1V A,J��R,e� ZIP: �S 33 i <br /> NAME OF OWNER: �i2t 5��-��,�,�raT�2 ��c ,�T—� PHONE: (home) <br /> (work) � S�z-< �t� � � `� 7� 3 <br /> MAILING ADDRESS: z5cx� �H�+�y�wp T�.o . CITY: N aJ a,�2 E e ZIP: s 5�3� <br /> CONTRACTOR: � i'��2-C� � c�L PHONE: �{5 Z- 7 y Z . 3 Q 1� <br /> CONTACT PERSON: ��>��,.; t-��,� i ��� MOBILE/PAGER: �/Z: �3£�: L(o z .� <br /> MAILING ADDRESS: ��c� S�ja„��wo u D t2� . CITY: �A��,,�.,�� ZIP: 5 S' � 1 <br /> STATE LICENSE: # � A � ;,� ��� �s� L i C c-�-=� 5`-,�� <br /> >� S JL3 c-�� -�-,����z�25 <br /> ARCHITECT/ENGINEER: �/�,2 c�j L.� PHONE: ��� - �1�Z� 3 G�CP <br /> MAILING ADDRESS: z sv a ,r�:�,�,,� y v,,��,� R p CITY: ►„�p,v�.,2�e� ZIP: � � 3�i <br /> NAME: �� ��,�, �-� �a ti� ��rt-o � REGISTRATION# �►�� <br /> � h-tl�s ]"�Ly c c> � r--t�'��-, �c� s �T cz �=cZ--t.: 2 a�,�.., U 2 �-1�c�r��., �c ��� <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: ��c►�C��� �-- '�1""'Uvo G"����i C� S � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S c�o.vo <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 e in accor nce with the approved plan. <br /> � <br /> APPLICAl�TT'S SIGNAT �-�� DATE:, tG1� i j ���'� - <br /> � <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 /> 5 <br />