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' � ��� . � �1 <br /> ' ' Total Fee: $ '� '� � -� Date Received: �D (n C�(� 3 <br /> Entered By: `j'� Permit #: 1- - 2�� - �;%� <br /> ` �, ( <br /> �1,����'J(,�' '` '1/ C � <br /> CITY OF ORONO - B�LDING PERNIIT APPLICATION <br /> >�'��� � <br /> � "`v��1 All information must be submitted in full before plan review will be started. <br /> i���; �1 - (please print all information) <br /> � ���� � <br /> ------------------------------------------- ------------------------------- -..______ <br /> --------' -^�---------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: ;� �� �,X ��--�;� ZIP: <br /> �-�( ��`. ��--..1��,� ., r <br /> � � �y_� �� <br /> NAME OF OWNER ��c� r�' f �����;/-} = ��� ' PHONE: (home) �f�Z � 73�i• ! �l�: <br /> ' i a��S��z�=-� (work) �7i�:5 �7���- - 3� <br /> MAILINGADDRESS: II�cZ �vr�'��ca�r� i.,_: CITY: c'=:�-' ZIP: j5��� <br /> CONTRACTOR: �I-� ��-��-� ���. I�c�<-t�`-� PHONE: `I��Z `�"'f� 7<���`i <br /> CONTACT PERSON: h)r� I�e,•�-,-+��-� MOBILE/PAGER: ��z ��,� �z,z`� <br /> MAILING ADDRESS: �j�S� t=, � .a� �,�L CITY: j/1���z,4��'+ ZIP:_� t <br /> STATE LICENSE: # �t�7u ( 1 z�v <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: Z-- SQ.FEET OF EACH FLOOR: 1 �?��;�c�: Z r�� � ,-t� G'�►-;Y 14 5�= <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. � DET. <br /> ._-; <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��i'1 , ���� � <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 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 e approved plan. <br /> APPLICANT'S SIGNATURE: .,� � DATE: ' �, ,x �3 <br /> NOTE! Parade of 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 /> 9 <br />