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- <br /> C Date Received: �" <br /> ' "Y'otal Fee: $ � ,� � �' • � � ��q� <br /> Entered By: Permit#: �J�� �'�~ <br /> � . � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review �vill be started. <br /> (please print �ll information) <br /> THE APPLICAl�TT IS: (circle one) OWNER CONTRACTOR <br /> JOP SITE ADDRESS: �D�D 1`�pr�� �� t�.a.__ ZIP: 5535-(� <br /> iti':'��IE OF OtiV1��R: � � �Q�y'� S PHOr`E: (home) �o y gs�{z- <br /> n /� � (work) �7�8 YD 3 <br /> 1�TAILING ADDRESS: /O(�b �j . p�dt,w� I�- CITY: �,�D ZIP: 553sC� <br /> CONTRACTOR: I�or�-R�,� C�,,i.,�.r�s ��- PHO`'E: �{7!v-��/D 3 <br /> CONTACT PERSON: Jc c: L.�c,c�s MOBILE/PAGER: 8/Z ey Sp�TR�',,q,¢rQ 5�-��� <br /> MAILL�TG ADDRESS: �4yv�E CITY: ZIP: <br /> STATE LICENSE: # 5(�SD <br /> ARCHITECT/ENG�'EER: PHO\TE: <br /> MAILI�IG ADDRESS: CITY: ZIP: <br /> 1�1ANIE: REGISTRATION# <br /> TYPE OF `VORK: New Addition� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �pnSn-u�T 3 n�Ew �pRoornS /��W K�Tz.lt�N, <br /> N E w �1h-s��� R-ro� ��--�� N Ew ���.� N�v� ��v��� <br /> �� � <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. 2. <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): $ � ��, QQD <br /> I hereby apply for a building permit and I ackno�vledge 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 will be in accordance with the approved plan. <br /> APPLICA.�'T'S SIGNATURE: D:�TE: �'o2J`�j'�_ <br /> NOTE! Parade o�Homes events r ' e separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />