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Total Fee: $ �(ra�� �7;; Date Received: `�/D�� <br /> Entered By: �l7 Permit#: �D 50 � � <br /> '7_— <br /> � �, 7 �. , � -_. <br /> . ` ! <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOleT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �j fL'Z-`�, �j G,D.S G O Gl �,k�ZIP: � � 3 q f <br /> NAME OF OWNER: �€rtT- S w,�r�l s o ti PHONE: (home) K 7 J- ?�o a <br /> (work) <br /> MAILING ADDRESS: 3 ZZ�t g c�5c.v CITY: G i t�_ ZIP: � � �q � <br /> CONTRACTOR: ��.t-�:T�c�� P�- u S PHONE: �S Z-�3 7 -S�a S <br /> CONTACT PERSON: �lAr-� /�t�E��'�S t�r� MOBILE/PAGER: �, Z- z z t -��l p g <br /> MAILING ADDRESS: !Co�o C� �l�-u-�y 2�. CITY: ��r( P(z_ ZIP: �S 3 4 7 <br /> STATE LICENSE: # .5`f�S <br /> ARCffiTECT/ENGINEER: 1�i�5y�i ��{_ PHONE: �S z - �{-7�- � �oo g <br /> MAILING ADDRESS: i y 1 �, rLo S�, CITY: �xc�F�sia� ZIP: �S 3?� <br /> NAME: r�t,�2�- ti��S�TT REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detain: N�w �,�-ra-4 ,�..�� -T'a-���-i S /F��+�' ,� <br /> ao�1�T�c.�.r'� � P�c:-u�-. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i 7,OOC�-`� <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 /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �/,-�- DATE: ¢, ro �o Z <br /> NOTE! Parade 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 />