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Total Fee: $ I/' - -? Date Received: '?,/5-'C.- <br /> Entered By: •-'_, Permit#: A-0 _15',51 5 <br /> err ,.% clC <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 in ormation) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: 2- 055 f e-6 her ydis isPe.--4 ZIP: S3 Cr <br /> NAME OF OWNER: Oave _ 2iJ1 _01-5 PHONE: (home)q_52-V 4- /6c/3 <br /> / ter <br /> MAILING ADDRESS: 2-05- -- (Ai-4tier gt /ls CITY: 0 V'Q n 0 ZIP: 53-3 7( <br /> (�ct4 <br /> CONTRACTOR: �1 /1202_ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCH!l ECT/ENGINEER: ----d.. 111-e_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> Ze)PO_HD>VIAL(describe in detail): Oatte„._,Ani-A- d6-(.4.. <br /> .,_. --z.,-,,k,, ._ <br /> i.iie . <br /> ,.; <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> ( - )1 i S 15 c.� re&<.e h err 0.1'q vs04 i"c, efCc - S S; <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and ov4eri4I5 <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with 1s4- <br /> l <br /> the State Building Code; that I understand this is not a • 't and work is not to start without 435700 <br /> permit; and that the work will b�• ordance i I, - a, o r• e, plan. <br /> li <br /> APPLICANT'S SIGNATURE: , � 41 DATE:?:—( —. 6 Z <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 /> 5 <br />