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� <br /> . / •� <br /> / <br /> Total Fee: $ ` Date Received: �- �� '�� <br /> Entered By: � �� �L�"���L� -� Permit#: �[Z(o/3 <br /> � <br /> CITY OF ORONO - BUILDING PERiVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priitt all i�ifori�iation) <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle orae) OWNER OR CONTRACTOR <br /> ,/�,� � , <br /> '�) � % <br /> JOB SITE ADDRESS: �5 ��� ""`� �� ZIP: ;.5 � � �/ <br /> `Vill this be a Para of Homes, Remodelers Showcase Home or other Display Honne? <br /> ❑ Yes No Ifyes, a special eventperi�iit is requit•ed witlz PoliceDepaYtment af2d <br /> City Coufzcil czpproval 60 clays prio�� to the evertt. Nora pertnitted <br /> eve�zts will r2ot be c�llotive�l. <br /> �. cj�� � <br /> NAME OF OWNER: I t�G�9� �� p� PHONE: (home) �71p-�� - <br /> �^ /� � ` (work) �--7h --oo����� 1 <br /> NIAILING ADDRESS: �� c>�7�=� t-x�i � CITY: ZIP: ss3 �`- <br /> /' J <br /> CONTRA.CTOR: �(�5'��f' � -� � PH0�1E: ✓��D�- 3 'lr�r-aJ`J�I <br /> CONTACT PERSON: �n D � � MOBIL /PAGER: bla —�D/-�.35�/ <br /> MAILING ADDRESS: z-� � X ITY;,�����s� ZIP: SS.j5 <br /> STATE LICENSE: # ���� b EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � ;`� PHONE: <br /> MAILING ADDRESS: CITY: ZIP. <br /> NAiVIE: REGISTRATIOiv# <br /> TYPE OF WORK: New Addition Accesso Stnicture V <br /> rY <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe i�a detain: C���<i� � <br /> STORIES: _�_ SQ.FEET OF EACH FLOOR: 7 � 1�" / <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED �/ <br /> G�� <br /> ESTIIVIATED CO�iSTRUCTION VALUATION(eYcluding land): $ � S�� <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit; and that the work will be <br /> in accordance with the approved plan. , <br /> �� . F. <br /> APPLICANT'S SIGNATURE: !l�c.j-�`�sL._ �� DATE: �%'�"-l��� <br /> 9 <br />