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Total Fee: $ ��G' - � � Date Received: ��f� �(.�l� �' <br /> Entered By: / %�) Permit#: �/�t� <br /> • �-y'y,��� `",�./`',`_� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �{� �5 ih�A�Z�q T�q �j ,/fl ZIP: � 5 3 S`� <br /> NAME OF OWNER: �L�j��J S L A�(%N T�I(ZZ PHONE: (home)%Cv 3- y �y-120"z <br /> p (work) <br /> MAILING ADDRESS: �S�j yt�Ay��i� DL✓D CITY: L �N ZIP: 5 5 3 5`� <br /> � �"�,m4'rt�..�, <br /> CONTRACTOR: P . <br /> CONTACT PERSON: MO /PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> AR ECT/ENG ER:D��4�� J�N� �������� PHONE: CPI2` �`f3' j9(OGI <br /> M ING ADD SS: CITY: ZIP: <br /> NAME: � REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration � <br /> �3,�, 3 J�� <br /> PROPOSED WORK(describe in detain: ��n��sl� c,o�in g� � v�� � �ti,+ <br /> ^ t,�,�� sr-��.�L I c.P _ ,, � <br /> ��� � <br /> � a�,�h S i��c�ES: SQ. FEET OF EACH FLOOR: ri '� <br /> (�`� �` J NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � ° �, � � <br /> � �- i� o„� �3c�,� � G��Pr�vcrn� /�o��" 9 �cr�+�,19��, hon� � �� <br /> ESTIMATED CONS1'�UCTION VALUATION (excluduig land): $ 2 l <br /> I hereby apply for a building permit and I acknowledge that the information ove 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: q �� �7� <br /> NOTE! Parade o 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 />