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gotal Fee: $ 1 �`�' ° r � Date R�ceived: 5�/-�.3 <br /> Entered By: � � Permit#: �e�� N <br /> � ��,,,,,�� �CoCo� <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> THE APPLICAN'r IS: (circle one) OWNER OR CONTRACTOR <br /> J�B SITE ADDRESS: 1 �D a t���� 5 T' z�:. �.5.3 �I l <br /> NAME OF OWNER: �H i y�t� �Gv N N t� V r 1�i��ll'�I�iONE: (home) �j'S� +�7 5' lo�l '� <br /> , (work) <br /> MAILING ADDRESS: J 2 3 D �(R I�D/,� S T CITY: � �D�tl� ZIP:_ � 3�� <br /> CO\"TRACTOR: 5'�' z� PH4NE:. <br /> COr�TACTPERSON: g'�t wc � MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> ST�TE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> �IAII�I�i TG ADDRESS: CITY: ZIP: <br /> N���; REGISTItATION# <br /> TYPE OF WORK: New Addition_� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: � �G K �Z 1C 2. � t�E f S �'��c v7 o v r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> EST'�IATED CONSTRUCTION VALUATION (excluding land): $ /pC� <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 wi1I be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:� � C%��^— DATE: 5 � � � <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 />