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� . Total Fee: $ ��-L�� �-> �� Date Received: ��-J� <br /> ' , Entered By: �f.--- Permit#: �-p ���' <br /> , � ,. �- � <br /> �I� �_ i� �{:��� �� �-��� <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: � �f�� ��i I�f�' ��P�p �1 �ZIP: r'.�" ��� (� <br /> � aHN g- i��N �� a�z <br /> NAME OF OWNER: G R�c� T 1-�p�i�1 PHONE: (home) �"-�� - D 7�(o <br /> �Work� 9��a-���--�s'�'i <br /> � MAILING ADDRESS: /y � �/ S CITY: (��o f-�(7 ZIP: ����(o <br /> `�, <br /> � � � <br /> � •� <br /> Cl �' CONTRACTOR: CGi!`�Y�� PHONE: ��''����� <br /> v CONTACT PERSON: MOBILE/PAGER: �- e <br /> ������SZ <br /> � � MAILING ADDRESS: $`'S�7 Crv/..t��,��GZ. CITY: �7"�j¢ ZIP: $53�� <br /> '�; STATE LICENSE: # ��f�l� <br /> � <br /> �IV'1 I LI--�P��--� �N Pti-+(�-�P'i r�-M.Ac�DoNP�--i� <br /> ARCffiTE�_.'�+:NGINEER: b�i(�r� C�•n p p�rJ:� PHONE: <br /> MAILING ADDRESS: 2(r� I SGf-►rx��A�/ '"'r�3�o CITY:L"-f•C.�LS�o� ZIP: '-.��-�3�3 i <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration i'� Land Alteration <br /> PROPOSED WORK(describe in detai�: �(��qy�L. �� �L��¢..l� .��`���i, - <br /> STORIES: �. SQ. FEET OF EACH FLOOR: Sg� � <br /> NO. OF BEDROOMS: �' GARAGE STALLS: ATT. 3 DET. ��i'���-�� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 J��, C � <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: �������� DATE: �-��� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br />� City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />