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. � � `� � r � <br /> Total Fee: $ V t��`�� � �� �� a`� Date Received:�0(c���I`�� <br /> Entered By: �- �� Permit #: �`� ` �'-> <br /> .� - � <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 I �s��, T ��� ZIP: �_S 5 3`i I <br /> NAME OF OWNER: �j�,�`'�i�� d-- �:a-�—r+�C-��-� l�'�I D�rPHONE: (home) `�2--�l`� �-S�'f �l <br /> (work) `j`j z - y-1 �l , `i 7 g I <br /> MAILING ADDRESS: �-`1�k-l �S c c� �' �� CITY: �i r�,�;y�c, ZIP: �� �� � <br /> CONTRACTOR: ���j c.av�z,�,TJ1�4 L� PHONE: (p12 -"j2�-!e'1�S . <br /> CONTACT PERSON: 'T1�j1v� gQ���L.p MOBILE/PAGER: <br /> MAILINGADDRESS:�7�01�jZ1upSTVaf CITY: (,/.���V/LL� ZIP: �_ ��,OQ� <br /> STATE LICENSE: # �G-Z.p3���z( ��,cy�lft�r'�A?7�0) <br /> ARCHITECT/ENGINEER: �"�;UL VL�5�57L,D PHONE:9�2�'���-�7 SvZ <br /> MAILINGADDRESS:��2C�t.Eut�.l,c.s� Av� CITY:��,(/,�,1[�ZIP: ��'7Z <br /> NAME: REGISTRATION# <br /> ,�� . <br /> TYPE OF WORK: New Addition X Accessory Structure �i. <br /> Move Remodel/Alteration x Land Alteration ;��,i� <br /> PROPOSED WORK(describe in detai�: � S c,?7�7N �,c�� ,$ ; ��\�� <br /> Sl1 R. �� W �l��o_�S�.L�UCA�7GdA�S � <br /> STORIES:�_ SQ.FEET OF EACH FLOOR: � � �'�� ��j� <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 71'X��vbO. -- <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'SSIGNATURE:� DATE: �-�2j- -O� <br /> NOTE! Parade of 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 /> 9 <br />