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ti <br /> e <br /> Total Fee: $ Date Received: ______ <br /> 0 Entered By: Permit#: ______ _ ________ <br /> e CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> n <br /> O pi) All information must be submitted in full before plan review will be started. 0( <br /> ,-' (please print all information) <br /> 1 _ <br /> a� TIDE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> KS <br /> \--c'. <br /> JOB SITE ADDRESS: <br /> i, . r A.. A i •. • ZIP: ( 5 — <br /> 1 NAS OF OWNER: 7,C`1 A.I.ti _ PHONE: (home) ci5a_, DI-t C 5(P <br /> (work) <br /> MAILING ADDRESS: 5 00 l 6 C�_ c p-pn�,CITY: zi a ZIP:„.5_5 b b <br /> Dr- <br /> f ) CONTRACTOR. w I _�ia � � PHONE: L/5/- Le 3 L- �(o y O <br /> ACONTACT PERSON:_jtSr MOBILE/PAGER: _ <br /> MAILING ADDRESS:a_ ,c D CITY: o t.puj I l es ZIP: cS 1 <br /> STATE LICENSE: #goo,,, Q,CI I3 <br /> ARCHITECT/ENGINEER: T_- _ PHONE: <br /> NIAIL) G ADDRESS: CITY: ZIP: <br /> NAME: —REGISTRATION# <br /> 3 TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): �� <br /> _c„ , -- A_ v_L__ Z_CTO..11 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %Qo _ o <br /> r)--- <br /> I hereby apply for a building permit and I aclaiowledge 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 understan, i . of a permit and work is not to start without a <br /> permit; and that the work will be '. :ccord. : the approved plan. <br /> APPLICANT'S SIGNATURE: 1 . - ' _ DATE: _S'I - CS/n______ <br /> NOTE! Parade of_r rues 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 />