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Total Fee: $ � �l� `��� Date Received: � ~J�- �oZ <br /> ' �Entered By: ,�'�y2�. Permit#: � (� �j��� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> �l %�-�U�v ria,�-�z"� Gl 7(c ,� <br /> �� ��'� All information must be submitted in full before plan review will be started. �S ,ud�> <br /> � � ��' (please print all information) � <br /> ..,. <br /> •1t;� ---------------------- --------------------------------------------------------- <br /> ------------------------------------- <br /> � Y THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �g�7 C�cs�o Pakr /�04� ZIP; SS3�� <br /> NAME OF OWNER: �e„5 �' $re•�c(,�, g y r k � PHONE: (home) YS•�'yt�- 7 f 7S <br /> (workl �s,� �y T/-b D/ 7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> > <br /> ARCHITECT/ENGINEER: �lr(c., ASso��efes , v��fz�tar�--PHONE: ��3'F�G,L- U 9GS <br /> MAILING ADDRESS: 33/ //o}� �{�� N.lJ. CITY: �„� R ;ds ZIP: rs g <br /> NAME: L,eoK GYn� f�i P REGISTRATI N# Uo/ 3/ ,S-S <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �,►.oV� S,t 4,.0 � • c �� wll� � s ►- �''.�c,r�.�,,f- <br /> � /� , _ J <br /> '�W r��i uM �roo�. ' 4 �tt �. <br /> STORIES: 3 SQ. FEET OF EACH FLOOR: �/6 <br /> NO. OF BEDROOMS: 3'� GARAGE STALLS:tATT. Z t DET. <br /> �ko Ac al� J�st �+,.vc� �ro�w. <br /> ESTIlVIATED CONSTRUCTI�N VALUATION (excluding land): $ .2 aof o00 <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 /> r <br /> APPLICANT'S SIGNATURE:�� � DATE: C l G�-U�-. <br /> �Zc�,}i t �Y►l� �;• ' !� - C�- <br /> NOTE! Parade of Homes events require se�irate 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 />