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' � 3��ia <br /> , ` �'otal Fee: $ Date Received: 1�'g-0 � <br /> - Entered By: ��WL� Permit#: �°D c(�(�(7 <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 /> THE APPLICANT IS: (circle one) OWNER R ONTRACTOR <br /> JOB SITE ADDRESS: � � � ZIP: ��3� J <br /> ) � ( <br /> NAME OF OWNER: L..DU,j S� �G��1 E� CU� � PHONE: (home)�Sa- 'd j o�ef <br /> (work) `�le 3 - �`")� - � <br /> MAILING ADDRESS: a3� L S�-�e-c�v wr��cQ CITY: � rb y�, ZIP: g�3 � <br /> CONTRACTOR: _��,,�l� PHONE:_ 1�rs��^�/'(�S a� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �3 � �5l� �,odcQ CITY: Qvo�w ZIP:;5�3�� <br /> STATE LICENSE: # S�e/ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> � �m.ov�- �.�+�� -�v iv�Su,(1�� -��vr Jost <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �f� 5�,�,�ec� e w,�`h, �� <br /> . sc, <br /> u,�� ►IM. o s I" �r.r' <br /> STORIES: _�_ SQ. FEET OF EACH FLOOR: DD_�5c�.0 � � <br /> NO. OF BEDROOMS: � GARAGE STALLS: AT�T.� DE'�'. <br /> ESTIMATED CONSTRUCTION VALUATI,ON (excluding land): $ ��Q�S- ��j <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: y DATE: �(,�-��OJ <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />