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f` • � <br /> � T�tal Fee: $ „�;�`�7, '7/ DateReceived: �'� . � - ��5� <br /> �`�� Date Approved: <br /> Entered By: �-��� Permit#: '���• ;�� � <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BESTARTED <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��U �}0�1,�1JF� �-�v� Z�: 5��I <br /> NAME OF OWNER: �'DM � P�1U� �DIX�U�t�� PHONE: (home) G�'�fo-2�iS1 <br /> (work) �23�5�� <br /> MAILING ADDRESS: 1�bo St�oRS,�p�1�.. CITY: f� ZIP:�'�1 <br /> CONTRACTOR: I,�j,[.E COUI�t(�-`1 P�I��'gS � �NG. PHONE: ���'1�'l.� <br /> MOBII.E PHONE/PAGER: <br /> vIAILINGADDRESS: `�`� �EGdND �('(1.E'E'C CITY: �C�S�b�- ZIP:���_ <br /> STATE LICENSE: # Z2� <br /> ARCHI'TECT/ENGINEER: N.R• PHOi�1E: <br /> NTAILING ADDRESS: CITY: ZIP: <br /> ��,�; REGISTRATION # <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Remodel/Alteration X Lanci Alteration <br /> PROPOSED WORK,(describe indetail): a � 3 D " � W�f� � <br /> r Yl?�v,► �'i'kP�vl �Il�r✓►�t� 1� R �t auI �l� ' rl'WI <br /> STORIES: � SQ. FEET OF EACH FLOOR: `�100 SF(�.)Ew� <br /> NO. OF BEDROOMS: -$ GARAGE STALLS: ATT. � DET. — <br /> ESTINiATED CONSTRUCTION VALUATION(excludingland): $ ��5,UD0.00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I I I I� '�1 r'�' <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 /> 9 <br /> v <br />