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� <br /> • ' Total Fee: $ ����� �� Date Received: J� �-�/-(� � _ <br /> Entered By: „�!/y�. Permit#: �U�v ti/G <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 OR CONTRACTOR <br /> � � �`j v-i�w�1 t��l (.,J v-o wo ZIp. � �L/'�� <br /> JOB SITE ADDRESS: �" , _ . <br /> �=,U� ";,�;�..�-.� � '� _ y�3_ z���� <br /> NAI�tE OF OWNER: � PHONE: (home) � <br /> . (work) <br /> MAILINGADDRESS: %'� ''''��=--- CITY: U'v'v►� ZIP: <br /> CO\"'TRA.CTOR: ,��.c�t u-- �j l d q� C.o . PHONE: (o ( 2.-.��Z-�2-��� <br /> COti�T'ACT PERSON: ( a v� i�ci c,t_�.+�' l�'IOBILE/PAGER: <br /> IVL4II.I�i tG ADDRESS: LI t.2av S. G.a ke ✓�a l� CITY: �.'ta ►e �a�`h Z1P: 5'S 35� <br /> ST�TE LICENSE: # z c�3 :? �.��'_�i? �Y. <br /> ARCHTI'ECT/ENGI�YEER: ----�-�- PHOi�TE: <br /> 1�I.AII,I�i'G ADDRESS: CITY: ZIP: <br /> N�`�; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> �a C� <br /> PROPOSED WORK (describe in detain: �nS-1-�t)� a �d '� YA w'`�- -�-o►�' t��� <br /> � ; r c 1 ac� _�� �a c�-- (� e v� !a�o��-� � - w`' nd�t,v S ,� VI uV <br /> . �ead�n✓S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 1\'O. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> ESTl�IATED CONSTRUCTION VALUATION (escluding land): $ � 5��'� � <br /> I hereby apply for a building pernut 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 /> perm.it; and that the work wiR be in acc anc 'th the approved plan. <br /> APPLICANT'S SIGNATURE: � -DA'�� � � c (^ u� <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />