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A w <br /> Total Fee: $ !-� / I � ' � '� Date Received: `1�3 � � <br /> Entered By: ,'�� ' Permit#: �)��/� 2 Z C� <br /> }'���/ r'/. -;1/t' j <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � �I S �ur6�.K� �{„�. ZIP: J � I I <br /> NAl�ZE OF OWNER�/ (/✓h d' ��U�vt� � �-+�- Z-C. � PHONE: (home) q�' �/��/-7!2 � <br /> . (work) <br /> MAILING ADDRESS: ,�-a yV�,Q_ CITY: __._—��:----- <br /> �--- <br /> CO\�Rl-�CTOR: �-L ���n/�. {I1.�..� I �v� PHONE: q So2• �I7`J • �I o�-� �� <br /> CO`�TACT PERSON: ��r� (,��. NIOBILE/�?��t: . O 1 • �'1 /,� <br /> NL4ILING ADDRESS: � � �'t S�urn Z S}-�rY�CITY: �YC,� S� a✓ ZIP:��J3 l <br /> ST�TE LICENSE: #13L.2 0 3 << q 6� q <br /> ARCHITECT/ENGINEER: PH0�1E: <br /> l�I_4II..ING ADDRESS: Y: ZIP: <br /> 1�L4.1IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(d scribe in etai : ,I�'/ �,Q/� � � ' <br /> �l �"i�t�ti�� , <br /> STORIES: _�_ � SQ. FEET OF EACH OOR: �Cj o� S <br /> 1�O. OF BEDROOVIS: � � GARAGE STALLS: ATT. � DET. <br /> . <br /> ESTLI-IATED CONSTRUCTION VALUATIO�t (excluding land): $� SO Q � G <br /> I hereby apply for a buildinJ 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 /> perm.it; and that the work wi�I be in accordance�vith the proved plan. <br /> APPLICANT'S SIGNATURE: DATE: G � �� <br /> , <br /> NOTE! Parade of Homes events requtre 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 />