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�, �i,,.�� ,7 <br /> Total Fee: $ v� D- J`� � �- `� Date Received: �� ���`���0( <br /> � � '��.�-- <br /> Entered By: � Permit#: - <br /> CITY OF ORONO - BUILDING PERMIT APPLICA'I'�(�A� �:,.:;,;... <br /> � _ <br /> ��.: <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�R CONTRACTOR <br /> JOB SITE ADDRESS: �SOO 5 ho,d�;,.,c� Rd. ZIP: �s3 3� <br /> NAME OF OWNER: ��eshwG--k� SacJ+g.�-� PHONE: (home) y�I -�(�7:3 <br /> (work) <br /> MAILINGADDRESS: � 50o S►,�,dywo�d Q.�,. CITY: N�,,,�;��.:� ZIP: .5"s33 ► <br /> CONTRACTOR: Gv�.r�,�1 i 1 n� - PHONE: `11 I -`17 7 3 <br /> CONTACT PERSON: �` 1�r'�S �rok MOBILE/PAGER: _�- ;�i� -�aa -s�a a— <br /> MAILING ADDRESS: �Soo Sh�.�..iwc�.�1 R�1�. CITY: ?�,,�,�« ZIP: SS3�3 I <br /> STATE LICENSE: # <br /> (`��V� `�^� ARCHITECT/ENGINEER: PHONE: <br /> lJ ,�,`� <br /> MAILING ADDRESS: CITY: ZIP: <br /> '' NAME: REGISTRATION# <br /> � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_ C� Land Alteration <br /> PROPOSED WORK(describe in detai�: R�,.,��\ �x�s-?;T -��� �.ti,ti, � ,,t� <br /> c:-- Mo�,1 roc.��. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � lo�ppp ,Cyp <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: �,,,��,,��� DATE: ��Zio�o� <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />