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Total Fee: � �_��_ Date Received: 7/�/5'� <br /> , Entered By: Permit#: �C� ; <br /> CITY OF ORONO - BLT�,DING PERMIT A�'PLICATION <br /> A.11 information must be submitted in full before plan review will be started. <br /> {please print a11 information) . <br /> THE APPLICAN'I' IS: (circle one) OWNER R CONTR.ACT4R� : � . <br /> JOB SITE ADDRESS: �ag� C�2M�,►��(Zo�p ZIP: 55�3 I <br /> . , <br /> � NAME OF OZ�NER: �,A w►2 r�Sc.� (�.. M�L5 qT{-{'E Y� PHO�IE: (home) 4"1 I � I c�3�j <br /> (work) 83�- 2��80 <br /> MATLING ADDRESS: �3�,`6�' CA(�I�N (�oAD _CI'TY: C�GE�-5 I o F� ZIP: S 5 3� i <br /> COti'TRACTOR: Kc2M �T t3(2u�E�.L R�,�n�'DC,�,�NU PH0�1E: S��- 774� � <br /> CO�'TACTPERSON: l��I�MIT �(2t�l�t�-- MOBILE/PAGER: 397 - 1�a� � <br /> MATLI�i 1G ADDRESS: 6 Bb I SFl E Rs D A►S �Uc' So, CIT'Y: (��c+i F't ELp ZIP: S 5 �3 <br /> STATE LICENSE: # ��'/8 <br /> AF.CHITECT(EIr'GINEER: PHOiVE: <br /> iYIA.II�ING ADDRESS: CITY: ZIP: <br /> �,rA.�; REGISTRATION# <br /> TYPE OF '�'VORb': New Addition Accessory Structure <br /> Move � Remodel/Alteration� Land Alteration <br /> PROPOSED ti�ORK(describe in detai�: R.�v�n.o�e e tS �r� d�c}�, o�,v�c� r-� a�� <br /> usc,-4� t��.� d.e�-.k 'i � C�c_c a�+�h c e w�-I,� Dranb C�����t` �esc�r��� a, �s 2. <br /> �� <br /> STORIES: ��� SQ.k'EET OF 3 S`�- S �' '' � - - <br /> NO. OF BEDROOMS: G�RAGE STALLS: ATT. DET. <br /> �� , <br /> � 1 nlc.�., I 9 a,3 t�Q.�.�r Nd.,t:dCb�rer a�c`�Prm�.e:d IQ y �,�j. . - . . <br /> ESTII�IA.TED CONSTRUCTION VALUATION (excluding lantl): $ g�oO�'° <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete an�l <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin� 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:�u.�-u-�c �YZ� ATE: � d� 9� <br /> 1VOTE! Parade o Homes events require separate permit approval by Police �Jepartment a�ad <br /> � City Council 60 days prior to the event. Non permitted events wi11 not be allowed. <br />