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. ��-�c�e �-r �l/3 S�/�c� �/�Q��%� <br /> /1 ����� <br /> Total Fee: $ E��-��� Date Received: '��!r� <br /> Entered By: r=!_� Permit#: a- <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �� Z �j rv r �5� ) K �)�, ZIP: `:�`� 3�;� <br /> f � �7z -S�� �� <br /> NAME OF OWNER: �1 C�i1 a I�K���Y"�C r, PHONE: (home)��1�l) � _ <br /> -, � (work) �_� � �-� �— - <br /> MAII.ING ADDRESS: y��� `���`�S� �Y ��i CITY: T��r,�"�` ZIP: � - ��; . <br /> i � � � � <br /> C�1\11�Li�1�R: � _ � �'���� I L. ��AJ; ��`�,�� �C`,j '�"��t �4-_���I��H��:� ��'���-i �� � i ����'� <br /> CONTACT PERSON: � �., ��c��r�<�, r� MOBILE/PAGER <;,-�-r._ `L <br /> MAILING ADDRESS: ��-i 1�Y �i�j c��,k. �_ �V�1 CITY��;�%��;rk� -'r'��.,•- % ZIP: ��=3��!� <br /> STATE LICENSE: # 7�.s�> !%:,��� - <br /> � <br /> -� , <br /> � �� <br /> ARCHITECT/ENGINEER: � ����,..:::, �. � �_� �'������ � � ���'�����. P�`ONE:�-' �% � � �i i ��'�l��_��_1 <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�: �r�;_-< ,- Cc ���c�r�fL �����,c +- + �-�` c�-;��r� _ <br /> � ' - <br /> � 1 l <br /> ��i\=�,�_a �i � "1 i.' �i\� ? �� � ' i C_����,J� � E 4 c`-. C�i� '� 1\ EU._� <br /> `4c�s v (�%�vt��-c �F ` �4 c:.P � r-��.-.�o�-r,.�ni �-' c�T't..� r4-r�.s� <br /> STORIES: Q. FEET OF EACH FLOOR: ��c- ;-�.-��^ .-- �, ,`�r'�� ` <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �!`��c ��%� <br /> I 2- <br /> I hereby apply for a building permit and I acknowledge that the information�bb�eis 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 the approved plan. <br /> --_ _� , <br /> APPLICANT'S SIGNATUK�:(� -� ,�-z ��,_ , , � DATE: ,1 - !'-I- �� � <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 />