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. � <br /> � � ) . <br /> - Total Fee: $ 5�7� �-3 Date Received: ��y�' 1C�� ���`�' <br /> ' Entered By: Permit#: ��(�, <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 ONTRACTO� <br /> JOB SITE ADDRESS: ��,'-��0 �o.��,s�n S� ZIP: �S�G 1 <br /> NAl�tE OF OWNER:To�, � t�, ��, �.. ��� PHONE: (home) �5 a. y 7� �7R5�( <br /> (work) <br /> MAII.L'\TG ADDRESS: �y�U �,c M a n ST CITY: (,,�,�,,z�—, A ZIP:�� <br /> CONTRACTOR: ����� ;e n �c_r�o r� PHONE: (�'7�3� 5 7� `�a�7 <br /> CON�TACTPERSON: ��_�:ti-z-- SA;Z�a ;en OBIL PAGER: �,�(0 3oc� 7 �(oia,, <br /> MAILING ADDRESS: L.}�} ?� �,Le, �-�- CITY: �� �o�� ZIP: �5�0 3 <br /> STATE LICENSE: # �r cA��a,( �,"�� <br /> ARCHITECT/ENGINEER: ��-=�,;� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N���; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: ,.,,o�, � 1��Sz����i av�.�..� :.,;a��s z�,s���,T�o� <br /> �N - � r .h r3 �A �:�,c�n\ � o .�6CT 1 <br /> l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ �.�,�ar� �� <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 accor�lance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: `�'�-� " `-'� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />