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y4` <br />t <br />Total Fee: $ Date Received: <br />Entered By: Permit#: O C l <br />CITY OF ORONO - BUILDING PERMIT APPLIC TION <br />All information must be submitted in full before plan review i-ill be started. <br />g -,please print all informattson)---- <br />M-------------------------- <br />c_ <br />THE APP ICANT circl one) OWNER R CONTRACTOR <br />J'- V d.9 tlkl. r"Ic fc l , ;- e -I g V-F o f-w. <br />JOB SITE ADDRES : ., D Qj wtc9 3 1m 2.5 ZIP: <br />z l w tp A a..lc- <br />Will this be a Parade of Homes, Remodelers Showcase Honie or other Display Home? <br />Yes . No If yes, a special event permit is required tivith Police Department and City <br />Council approva160 days prior to the event. Non permitted events will not <br />be allowed. <br />NAME OF OWNER: Y[( !f i(Q PHONE: (home) 45.•-l{`20 <br />work) CQ.L( ( Z. Qj l0. l3 <br />MAILING ADDRESS: SaJ' 3 -~)CC.2IS 0 2- CITY: , ur ZIP: SS3S <br />1, l t v <br />PHONE: <br />MOBILE/PAGER:15 S t.l`e <br />CITY: _ 7iP: <br />y <br />s <br />P <br />v/-v-r- <br />ciTY: c, <br />REGIST S 1'I. a_, <br />Accessory Structure <br />Move <br />j , iteration Land Alteration_ <br />n <br />PRO S detai: M.I.Q. 'iA t. -cu-e. V 0 R GP oJ[t Cees S m UJ <br />C t b z`s l r t.s, P zo,.., '.c f n c--tow c Z c,Q (t`cf . <br />G w,su ocd oc le y Pree -a g y eu.¢Yo t sc. b <br />STOI r., <br />2-'s EET OF EACH FLOOR: ``` `OU tc u.cs <br />NO. ( __..,. GARAGE STALLS: ATT. DET. 2 <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): S <br />I hereby apply for a building permit and I acknowledge that the information abo e is cor_:plete and accurate;that the <br />work will be in conformance with the ordinances and codes of the City and w7th the State Building Code; that I <br />understand this is not a permit and work is not to start without a pernut; and that the wor will be in accordance with <br />the approved plan. <br />APPLICANT'S SIGNATURE: DATE: ` Z- Zd 03