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' � �,c� �`��:� �.�S S P�..���r�c �`.��� P�m i� �� �;n� <br /> � � .�,� S �J�� ��� �-'�-�� � � <br /> Total Fee: $ ;'Z;� / -75 �l� ,�a"` bate Received: � �75`�p <br /> Entered By: /�i] - ����15�� �:jz�-�j� Permit #: r_,_�Lo� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Ail information must be submitted in full before plan review will be started. ^ <br /> (p/ease print a/1 informatron) �; n���� �� �� <br /> ----------------------------------------------------------------------------------- - <br /> - ---------------------- - - `� <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR �aTF� ����- <br /> JOB SITE ADDRESS: I 3vb -- S�t�� r�Ll�cE ZIP: <br /> NAME OF OWNER: I/1lATE�. s i R��T ►-�a�� 11.�, PHONE: (home) G52- y�N-[o l�o <br /> (work) �►z- 22 I- Coq�; <br /> MAILING ADDRESS: y(n�l 2� ST. �10.5 CITY: �xcel�to� ZIP: SS 33I <br /> CONTRACTOR: �v�a-r�,z s��E-r t���s ��c. PHONE: q52--�1��1-�1�2� <br /> CONTACT PERSON: KF.�J l�E�r��� MOBILE/PAGER: ��Z- 2Z�- e995 <br /> MAILING ADDRESS: L/��/ Z�.rr� 5�1' �'05 CITY: �xCels�br� ZIP: �33I <br /> STATE LICENSE: # Za39 09 a C� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New� Addition Accessory Structure <br /> ----------- <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in defai�: _��pw,;� �,,.,t �„�/ ,3 �� -�C,< <br /> u��r� GAaQh� <br /> STORIES: Z SQ. FEET OF EACH FLOOR: Lny�Q..(,�el WI4�eA� I�?ot MLlIoCb� l�l., Igza <br /> N0. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET. �- <br /> ESTIIV'IATED CONSTRUCTION VALUATION (excluding land): $_ ��d S5�ZSo.61O <br /> I herebv 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 the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work will be in accordance with the a roved plan. <br /> APPLICANT'S SIGNATURE: DATE: � (� <br /> NOTE.� Parade ofHomes events require separate permit approval byPo/ice Department and City <br /> Council 60 days prior to the event. Non permitted events wi//not be allowed. <br />