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� / <br /> � ' <br /> �r.�., 1 U"'. <br /> � � � <br /> ��� � ���Total Fee: , $ _� �' ��' -'� !-� Date Received: J-a 3 '(1/ <br /> �'� �"� Entered By: ;.�jY���... Permit#: ���7 <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: �/�S C'�I 5� C���'GL� ZIP: S 5 3�� <br /> NAME OF OWNER: ,(�,�/l/,C��' ��c?�� /�f�jl1`�.�-`'✓� PHONE: (home) ��S�_�1%��'S-l�� <br /> � � (work) .5�- ���(1 ��1 Z <br /> MAILING ADDRESS: ,�/�S (��'��� C�(�C�`�CITY: �%/��/��/-y7 ZIP: ..55�i <br /> CONTRACTOR: ' l�U� �'��/ ��`���> ���i�''-'S�i� PHONE: <br /> CONTACT PERSON•���,q,.lj 5s�,�) MOBILE/PAGER: >5�--�/�/U-:���� <br /> ,— , <br /> MAILING ADDRESS: 3%q S G-�S C� �i�C i-� CITY: l:�! 1�y Z-63 t/3 ZIP: 5=� � / <br /> STATE LICENSE: # /�'J�� .� C-- 2v/ � �i S�/,3 <br /> ��/�.�/��i T� /�-f�t'�./��1�a�v �'S���°J��� ��'/l �/� 5%���l'0O� <br /> r' ARCHITECT/ENGINEER: �%%�L1L'I�'G� SJ:��>I PHONE: ��J`� y�li� - ���JTU <br /> MAILIl�G ADDRESS: ',7 � `/ � . � �'�;� CITY: �X�'�/s��� ZIP: s�S-�'3� <br /> NAME: ,�/, ��✓3�L 5 �n✓l�� TT REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: /7/C'G(� l�C'���/� ('�'�r�5�r1�L��o�� <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,,��,�j;/.7� <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' � C�./�ZJ l�� . DATE: --�-�, ��� G� <br /> NOTE! Parade of Homes events r are se ate permit�val by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />