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V Total Fee: $ /, ,S13_ �� Date Received: �/ ��-�{ -`�� <br /> Entered By: �,(, Permit#: l/Q� <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 /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �a S �b bS �o•.�..ti �� ZIP: 5 5 3 5 � <br /> NAME OF OWNER: �pl�,.��-{-t ���rva�����.SPHONE: (home) �-7(0- �� <br /> � (work) �7 3 • �F3 �� <br /> MAILING ADDRESS: y85�-tu.to�,.s 3�., 2 CITY: l,.,o� L.al,c� ZIP: 553 5(e <br /> CONTRACTOR: �(ti��_ JO C(n,�' nnS PHONE: <br /> �-- - <br /> CONTACTPERSON: MOBILE/PAGER: 8'� 5 - �7 z L <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �-�,►�� 1_a--To n c�'es s�e- PHONE: y-c�F - I lo�0 5 <br /> MAILING ADDRESS: 3O"7 ,"no.x�-4 o bo- �}v-� CITY: l,J ZIP: � 5 3�1 ! <br /> NAME: REGISTRATIO <br /> TYPE OF WORK: New Addition_� Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe irc detain: (�,GtG� GCt�G�,L. -- ..�,,�vus� <br /> I rl <br /> STORIES: � SQ. FEET OF EACH FLOOR: ��.,,,��,� a,�o� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ IpQ,po� <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 Cin� 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 ac ordance with the approved plan. <br /> APPLICANT'S SIGNATURE: d G�NyiDATE: <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Depamnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />