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, , � %��'�?c' <br /> �y ''�� / 5 l/�/ o� <br /> Total Fee: $ Date Received: <br /> Entered By: 1� Permit#: /�C� _-3 ���/ <br /> �`r�,� �— ___�zs _ c_.i <br /> CITY O� 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 /> THE APPLICANT IS: (circle one) �OWNER�9R CONTRACTOR <br /> -�' <br /> JOB SITE ADDRESS: -.�'3 �, '�- )�.�.�.��,_� �� � �ci ZIP: ��� �i 4�- <br /> c�.� <br /> N�ME OF OWNER: �c � ���.- N. >� tiL .-,-� . r�; PHOiVE: (home) `i �a�`�� �z= � �i "��( <br /> (work) <br /> 1�IA.II.ING ADDRESS: a`��� f�.S�`�._ �� ��.: � . CITY: �'��`.�.,�- �C ZIP: S f 3 6 y <br /> CONTRACTOR: " PH0�1E: <br /> C0�ITACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHONE: <br /> MAILING A.DDRESS: CITY: ZIP: <br /> rJ�v�; REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: l� �.�>��t r � ���F•�. ,�����- ` s'�7+�KS �� ak1�1�,; �� <br /> STORIES: SQ. FEET OF EACH FZOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT�. � DET. <br /> 6 ` <br /> ESTI�i IATED CONSTRUCTION VALUATION (excluding land): � i �: � <br /> I hereby apply for a building pernlit 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::"--=�; �- - �'1 ���- �=�- -�%� DATE: � �`� - �' i <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 />