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. ti� /�� ~ ^ <br /> _sri C � � 1 <br /> Total Fee: $ � � �, � --� ate Received: �� C� __ ��� <br /> ' Entered By: YJ Cc ��' `�- Permit#: i„ � � -� <br /> -- 1 � C��,-_ <br /> / �� CITY OF ORONO - B ING PERMIT APPLICATION <br /> � � <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 /> JOB SITE ADDRESS: ��� �o�� ,�j�o r,�,� ,�l ZIP: �_S>.-S�� <br /> f'yi,�s �',-, � l� S�, �-l. <br /> NAME OF OWNER: .�.�C���e Sf�,T� PHONE: (home) y5;,1 - � 7�-�Y��-� <br /> (work) � �5��,�1_c�// <br /> MAILING ADDRESS: Lf�1s��'� Qi�e c�,• �� CITY: a v��i � v �11,�/ ZIP: S'S �.56 <br /> �,�/�?�1��i'�7 ��sa-y76 � <br /> . �.��C <br /> �s 74� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: � REGISTRATION# <br /> i� <br /> TYPE OF WORK: New Addition Accessory Structure , <br /> Move Remodel/Alteration Land Alteration <br /> `"� ��� <br /> PROPOSED WORK(describe in detain: �,,v��'' .�c, s �v.'e C,���/ l��a���. ��v� � , <br /> �'�'ti��f>r� '�� �o ���� �.��yU s� � � S� � � � � <br /> . l 7 U�� S �r 4 i'k- ./�/"I G✓` ��li� f/� �� 1 J <br /> l '� <br /> ��•� /����/� �cs �i 10 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ <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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �,.��Q�� �--- DATE: � " l�- �� <br /> NOTE! Parade of Homes events require 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 />