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( ��� <br /> Total Fee: $ ' I`�• �?�:' Date Received: �-J��> <br /> Entered By: c' Permit#: �3D a f G53 <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------- -------------------------------------------------- <br /> �� � \ <br /> THE APPLICANT IS: (circle one) OWNER�R CONTRACTOR <br /> JOB SITE ADDRESS: �`�5 �j r a c.<�n r/�d- S� ZIP: �5 0�`J �' <br /> l�'_A1V� OF OWNER: ���f�� � l���Gr ��c.>h f PHONE: (home) ��� 73--���5� <br /> (work)(�r�) �.�c� - ro j v � <br /> I�1.�ILING ADDRESS: ��3�" �3�r,��,�r� J�� S4 CITY: �� z�fr� ZIP: -�G 1 <br /> ,----� <br /> CONTRACTOR: �� /��� 'tft�n-�es PHONE: ��°�a�) '-�7 � - .���S-/ <br /> CONTACT PERSON: ���"�� J�;h/ MOBILE/PAGER: �-i� -73c� -��S Z.�S= <br /> �fAILING ADDRESS: �.�5� /'-�':o,.�,,� ,��i. ��� CITY: �1� ZIP: 53'�i / <br /> STATE LICENSE: # <br /> �CHITECT GIlVEER: <br /> �`�'�`�-- - PHONE: <br /> �1.�ILING ADD SS: CITY: ZIP: <br /> ti�;'�; REGISTRATION# <br /> "CYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> FROPOSED WORK(describe in detai�: Lc��- 1 r--�.� �:�.s � <br /> /� � I (�t;: <br /> �.�:! -v,av..1 ��-..�� ��A\S � I �J"C�lI�C3l''W�. �L,��♦ �.��=.ICj�l�_.� �Cl�-'Yy; 1 <br /> STORIES: SQ. FEET OF EACH FLOOR: � ����-� w ��'C� �:��� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �-C�� bC <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 accorda e with the approved plan. <br /> � � , /.�. <br /> APPLICANT'S SIGNATURE: .—�.� DATE. �l � t d � <br /> NOTE! Parade of Homes events require separate permit approval by Poliee Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />