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S ' 1�4 <br /> Total Fee: $ Q (/ 'bate Received: 3-—/c-03 <br /> • Entered By: �, Permit#: /46632._q <br /> ��n 1 -7,),_) ) \\) <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: Z.(O(? -tAtL Ot t r'" ZIP: S-S" 3 3 f <br /> � ,y� 0 - (7.66 <br /> G &(2, s% <br /> NAME OF OWNER: Pk t•( PHONE: (home) -1�2_ 71-g'2 S <br /> (work) 60/2_ - 33z.- 25G ( <br /> MAILING ADDRESS: Z(P(X() -C) A}c e4CITY: (Eprv ) ZIP: - <br /> CONTRACTOR: t7--k lie►(s ru di o PHONE: %."2 - 47( - Z.9 7-C- <br /> CONTACT PERSON: 4-e - MOBILE/PAGER: GI z Zz r- ss05 <br /> MAILING ADDRESS: 70 d rie y%c.e t)r, CITY: `7T c. � ZIP: TS S3 <br /> STATE LICENSE: # S9 Z/ <br /> ARCHITECT/ENGINEER: 6; �1)..t-6S0t., PHONE: 4t2 -33Zm'OOQ <br /> MAILING ADDRESS: It 7.1( > ��o r, ��� CITY: /11 p15 ZIP: ,S s- 4 0.3 <br /> NAME: 8 REGISTRATION# � y <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): A 0 C S C,V c '-. j)o <br /> STORIES: I SQ. FEET OF EACH FLOOR: 3 52- <br /> NO. <br /> 2-NO. OF BEDROOMS: GARAGE STALLS: ATT. D . <br /> �a <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l Sf ©C' <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 win be in accordance with the ap roved plan. <br /> APPLICANT'S SIGNATURE: DATE: 5`)1 c I a 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 /> 5 <br />