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Um .�-,,a-o'� <br /> ` . <br /> TotalFee: $ �05+8. S.3 DateReceived: �'8�� `� <br /> Entered By: Permit#: , 67�o�S� <br /> CITY QF ORONO - BUILDING P RMIT APPLICATION <br /> All inform�tion must be submitted in full b ore plan review will be started. <br /> (please pri�zt all iizfo mation) <br /> ----------------------------------------------------------------------- ----------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS � � �- "v� U�� �� - ZIP: `✓�� ` I <br /> � <br /> Will this be a ar de df Homes,Remodelers Showcase ome or other Display Home? <br /> ❑ Yes No If yes, a special event permi is required with Police Department and City <br /> Council approva160 days pr or to the event. Non permitted events will not <br /> �'"�r�[!11�1 e . 3 L.�.� �Z <br /> NAME OF OWNER: ln'1 Ft, ►�I�ZZs PHONE: (ome) - Z��-'�� <br /> (work) <br /> MAILING ADDRESSi 1�J� ��US� �� CITY: _� ZIP: �5��9 I <br /> ���� ��� � �� C <br /> CONTRACTO PHONE: �SZ' �GI'� `��Z`'� ( <br /> CONTACT PERSON. 1 OBILE/PAGER: �1 Z- ZtC� ��-4-SS <br /> MAILING ADDRESS� � � t� CITY: � ZIP: sZ�� U '� ! <br /> STATE LICENSE: # � 'r/3 r7 �!' ��, <br /> ' �,` 1 �c � j�j � -z- 3 --3� <br /> ARCHITECT/ENGIN�ER: ��'� �V.. �`��G�PHO E: � J � I <br /> MAILING ADDRESS; l��nl » �y�,�- 5c� CITY: � ZIP: /O <br /> NAME:���' �,F�.i� REGISTRATI N# <br /> TYPE OF WORK: N�w Accessory Structure <br /> Akldition Move <br /> R�modeVAlteration� Land Alteration <br /> PROPOSED WORK(describe in detain: � 5����u���. <br /> STORIES: � SQ. FEET OF EACH FLO R: <br /> NO. OF BEDROOMS:' GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONST�tUCTION VALUATION (exclu ing land): $ �i�.� <br /> I hereby apply for a buildinqg permit and I acl�owledge that the i ormation above is complete and accurate;that the <br /> work will be in conforma�ce with the ordinances and codes of e City and with the State Building Code; that I <br /> understand this is not a per�Ziit and work is not to start without a p 't;and that the work will be in accordance with <br /> the approved plan. ! . <br /> APPLICANT'S SIGN T . DATE: O <br /> i <br />