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� < � <br /> Total Fee: $ � �,S :O �-- Date Received: <br /> Entered By: - Permit#: .� a S 4� <br /> , <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 R CONTRACTOR <br /> JOB SITE ADDRESS: /%7 3 BA y /�i D�>E= �o f!:_� Z�: S S 3 `I i <br /> NAME OF OWNER: 7'/-�-n iv� A 5 k=' � !�`�Un��"� PHONE: (home) y 7 3 - 3 a ys <br /> (work) � � 7-SZ c�jo <br /> MAILING ADDRESS: :% �/ 7 3 8A1/ �1 i�G E �" f> CITY: �.�f��z s; �� ZIP: �'S 3 4 J <br /> CONTRACTOR: O�/��tz- PHONE: S/-�-m E Ns fh3oVE <br /> CONTACT PERSON: S�-mE f):; �7 :-�<=�C 1'+'IOBILE/PAGER: a 7 a/�So <br /> MAILING ADDRESS: ;.�3 •'� ��� f l .S �}[3 o v E CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: r'oL�n.�;�a;E: p�s/G� G�o;��=� PHONE: `� %' �� ' � <br /> MAILING ADDRESS: L� 2 ri�e r`�v� �o��Tr/ CITY: ���✓L� ZIP: 5-5�/�/ <br /> NAME: --= �= !_ '>� S�H o�z. REGISTRATION# <br /> TYPE OF WORK: New Addition�c _ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �E u�-' � �-�v� �ni� �7 � c y�v G�+�f7�� <br /> ,� ,_ ,te_� <br /> �--�, ,,,;,� � �;> s F �s T F�R - B, ,e B,n� HA�� = 3 So s F <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: ����>F��F��-:- a � = 3 yS S`� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. 2 DET.�i�Em�vE� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/��, C� 5� <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 /> pernut; and that the work will be in accordance with the approved plan. <br /> ''����a��'f �� <br /> APPLICANT'S SIGNATURE: � DATE: � � �o <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 <br />