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Total Fee: $ y /� Date Received: ' �j�'�b <br /> Entered By: ;f J Permit#: �6 � � <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: �3�Z• C�o►1 d�� P•,r K �z1�� ' <br /> NAME OF OWNER: C7�I ��X�►�"'� C��� PHONE: (home)Q S 2-q`i°I - 0 2 N C <br /> (work) <br /> MAILING ADDRESS: g$$Z F��gl,� C�r. CITY: F� �►:r:�ZIP: S S 3�t-1 <br /> CONTRACTOR: �'�v. �=f�►ew.�C �1-Se''�S � '��- PHONE: �IS t-q'3S-910� <br /> CONTACT PERSON: �we-y MOBILE/PAGER: �'�,•$O's- SSS�e <br /> MAILING ADDRESS: Nq o� 1..:�.►tal.�. 4r CITY: 'Ea; �A ZIP: S S�3 �o <br /> STATE LICENSE: # �i{O$ <br /> ARCHITECT/ENGINEER: pes��� G1aSs�c S PHONE: °1 S 2-8'E 2- 1 q`10 <br /> MAILINGADDRESS: 166y �'i'c. GI:�'� '�a- CITY: QvtwtJ�ll� ZIP: SS3Z'1 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New �� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �C,`vJ �dv��, pi� p�Ar►S <br /> STORIES: I SQ. FEET OF EACH FLOOR: Z�I00 w•w: r+ � Z„2,�0 L•L- <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATT. �_ DET. O <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���00�'!•�d <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 t is s not a permit and work is not to start without a <br /> permit; and that the work wil ccor e w' approved plan. <br /> APPLICANT'S SIGNATURE: DATE: S� Z6-Oa <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />