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Total Fee: $ �<' �. ,� �) Date Received:��(���''��' � <br /> � � <br /> Entered By: Permit#: -c ,-`f <br /> f.;.—� <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 CONTRACTOR� <br /> JOB SITE ADDRESS: �I(;S �.�"c c, t,::�(e v��d,� Mn. ZIP: ��_3`i l <br /> NAME OF OWNER: (7,�;t�l� ,�..d D.z.�►� c�._r�s�., PHONE: (home) �1"ti 'o��+d <br /> (work) <br /> MAILING ADDRESS: 3�i�� �..,�� c:::�-�.1� CITY: �.-�.,� ZIP: 9�3�i <br /> CONTRACTOR: ��,-�,,,��d (3�.1d c,:-; PHONE: �7-i- y 5 ti� <br /> CONTACT PERSON: ��-.� �3 l��,d�_I MOBILE/PAGER: <br /> MAILINGADDRESS: ti�7i4, Lk�}w��,d ILd: CITY: iv1�l�:_. ZIP: �'� �y <br /> STATE LICENSE: # a��,;�;�s;�:-�; <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: Qp_�,t,;,�,z �,x;s•�;,��► d�t�. NZw a�k r�� <br /> ('1,;.a7�t <Xwc'i Sc�rr,2 �t'eiC'� Pr:P1•T e.5 k.' 7�:4�;>►tu <br /> STORIES: SQ. FEET OF EACH�I.00R: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut 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 /> APPLICAl�'T'S SIGNATURE: ��' �. -�'�'��r� DATE: 3�.5�9� <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />