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� / � � <br /> Total Fee: $ l � � �� Date Received: '7-� -C� / <br /> Entered By: �� -rc. , Permit#: /-}�('1 y(�.-��� <br /> �i �/ry�'.� .� �����/ <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 O CONTRACTOR <br /> JOB SITE ADDRESS: .��� � �j � �Gt��c=p v�. �i•�"rIcZIP: �=��� � � <br /> NAME OF OWNER: ,L�IL�t.1'�� l� pa.a�tl,o���iu PHONE: (home) ''�� �.r,- .�, . ; " ,1�: <br /> �- (work) <br /> MAILING ADDRESS: .%�2y'f{- �'�t�,cc-v t�. G;.�/c CITY: �f Q�p ZIP: <br /> CONTRACTOR: �_i'J " i�r �0�7�rfzc ��� PHONE: �f-`��.3� �`?.�' - ��a,/S <br /> CONTACTPERSON: .fl � h,��� ILE/PAGER: �j�- 9�7� -- r-�� <br /> MAILING ADDRESS:�3� j'��,��yvnci �1V CITY: !�?o�t�i ZIP: S.�3Cp� <br /> STATE LICENSE: # ,�p��Q��� <br /> ARCHITECT/ENGINEER: �j�- 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�: p,,�� ' ; �e � � ,��� ��u, - <br /> ,/ �7 �''� f , ` <br /> //G�/�� -t��li;r.:t ,�d�T , �n_rir, C��c'L/�-�_, ✓g> �,���:?�.= d"1t>/`?��'sLra�'ec�� r,:� �_ <br /> �� 5�' J <br /> STORIES: � SQ. FEET OF EACH FLOOR: 1(�QO <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �_ DET.� <br /> ��> <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��,G7Q� <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: �� �� a , DATE: � � ,�. <br /> � <br /> � � <br /> ; <br /> NOTE! Parade of Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />