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' Total Fee: $ 5 ,y�$��� Date Received: � <br /> Entered By: � Permit#: ��,Q�" <br /> CTTY OF ORONO - BL�II.DING PERNIIT 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)���O CON RACTOR � <br /> JOB SITE ADDRESS: 2�0 y �V�+�n-w�o!� ZIP: <br /> NAME OF O�VNER: ��UG �/Y►.�S PHONE: (home) ,�I�/zJ <br /> (work) �76-4�t8 <br /> viAILI�'G ADDRESS: ��� G�u,ct�v 1IZ- CITY: �to�er- ZIP: 53�'�'i/ <br /> COI�TRACTOR: �LII(� �-(aiwfif PHONE: 3��-/�I <br /> CONTACT PERSON: �;� ���,(�d� MOBII,E/PAGER: 3 a�-��fvj <br /> NIAILni 1G ADDRESS: c,(�7cz� cltttr��— CITY: a2�yv� ZIP: 53��/ <br /> STATE LICENSE: # -7 G SU <br /> ARCffiTECT/ENG�'EER: PL,�n►�''.-c� D�Su�•�/ PHONE: G.SI 43`—�dd9 <br /> bIAILING ADDRESS: •�f-�c,� t./w� /a w/.E . CTTY: ^�ZIP: ,�S//z <br /> NA1�IE: "�,� ,p-�t�-n� REGISTRATION# <br /> TYPE OF WORB: New �— Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detain:�' �c�/ ��� 7a � <br /> 1 <br /> ��t��j <br /> STORIES: Z- SQ. FEET OF EACH FLOOR: a� `� <br /> NO. OF BEDROOMS: � G.�RAGE STALLS: ATT. � DET. <br /> ES1'1�1�1ATED CONSTRUCTION VALUATION (excluding lancn: $ +� 3�5, c� <br /> I hereby apply for a building permit and I acl�owledge 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 <br /> the State Buildin� 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 /> APPLICAIV'T'S SIGNATLTRE: {G.,,/l�- DATE: � -�S S 4 <br /> NOTE! Parade Homes events reqrrire separate permit approval by Police Deparbnent and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />