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Total Fee: $ "' �G- � �p!��Date Received: ; � ��� .3 <br /> Entered By: �� �� �" � Permit#: �/�` <br /> � . �_ (Q � � /� <br /> ��16• I �/�1�/'� �'k l/ <br /> CITY OF 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 O�ONTRACTOR <br /> JOB SITE ADDRESS: aQ /�) Sli���rr �r. ZIP: ,�`j �3�/ <br /> NAME OF OWNER: ��,�/t�f��p (��;,�i�/,Ik�oh PHONE: (home) <br /> (work) <br /> I�IAILING ADDRESS: S�r/►u c,S a,�„�-c. CITY: (,�/ � ZIP: s i <br /> CONTRACTOR: �i,��er �rv th.er5 �'.an5 �- PHONE: 7(,,3- Ll�� - a�i 3 <br /> CONTACT PERSON: �G,-r,� �c., t,� , MOBILE/PAGER:_��3 -a.g(,- �/0 7� <br /> MAILING ADDRESS: ����9 l,�J;nn r-�ko, /.�,h ,,!/, CITY: C'�ia�•�r d�n ZIP� SS.�/ C. <br /> STATE LICENSE: # ��a o a ��o� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: ac�c����SS W��nr�Gc�, /Jfcc� ki�C�sr C�,bl��S', a/�it,t w <br /> �,t.).r�owSt� fl�w ��h �n .'k6er�„� + Q.,fiac�e�c � a " �/at <br /> STORIES: c� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET._ (Z <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 37� sUU G� <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: �h lz.ui DATE: �Q- �`—Q / <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />