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-, <br /> � �Total Fee: $ L/9�, CJ�� Date Received: :f'�/�/t��� <br /> Entered By: C�_ Permit#: ,!"r;; ��^�j�� <br /> ����,c��c� /'� _�.3�:- ��'� ><, <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� R CONTRACTOR <br /> JOB SITE ADDRESS: ���,/(1� �J����t ✓ � 4,��� �% ZIP: ��5����,. <br /> NAME OF OWNER: SJ�'d,r�e �c�fE? �d r,� PHONE: (home) �/��-- 7��?C� <br /> (work) 1�l� - ���::�2 <br /> MAILING ADDRESS: ��r�5 /r l c �" CITY:��'e�t ,�i�4�,�,`r Z�:-� <br /> CONTRACTOR: ��«�- �,,, Z�:��,� •f- PHONE: �f y�G���% <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: ;;�y�� �', ��� � CITY: ���; ; r �_ ZIP: J��j �' <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: .��u�c'_s�t�Qi��r �c ftr�in�HONE: ��l- ��C��i <br /> MAILING ADDRESS: �,�S„r,;� �i�y z�r�t ��,�,�'.. CIT : .�%.�/'r,� �/, • ZIP: <br /> =� <br /> NAME: ��,1��;�(�,� REGISTRATION# .����-,��y f <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: (�,r5�'��c:� yo�X y�"D,7/� bu��d�',�4. �'���7c�rf <br /> ��c.:� /l?Cf'a� S,�lr' S lrt.�� /",1c'�. ,Sr� G ffz:r'�.��,C��nn <br /> STORIES: _� SQ. FEET OF EACH FLOOR: l �(1/� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� Ly0%% <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 Ciry 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: "^���� /Yu,�f��j�-- DATE: � G� G n r% <br /> 1/�"�- <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 <br />