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Total Fee: $ �C�`7` - ��� Date Received: %�-Y- �'% <br /> ���� Entered By: �� Permit#: �}o ��/��7 <br /> h <br /> I ��n''��� 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 /> �. --------------------------- <br /> THE APPLICA��iT IS: (circle one) WNE 'O ONTRACTOR <br /> JOB SITE ADDRESS: �i� I�'J .!Y � � � ZIP: � ^ �c <br /> NA.�IE OF O`VNER: �;.-� No�.us PHONE: (riome) y.5� y%50�1� <br /> : n,� (work) E 1�.? 7Y � •�G:.4:, �� <br /> NIAILING ADDRESS: �-}y ��) :�y S�c,k';� ��� CITY:� , ' ZIP: ; �`. <br /> , <br /> ��•�, . �s5 - `���-� <br /> CO\�'Rr�iCTOR: S�i�.sc_IQ_�i- �,:�,��,� � �},,.� PHONE: ��(�-�- .�(�: � ' '-IISb <br /> CO\�T'ACT PERSON: ' �,� t� NIOBILE/P�iGER: <br /> �ZaiILING ADDRESS: l�-���� 1 . � S T� CITY: ��c o.c iz ZIP: l� _�3v� <br /> ST�iTE LICENSE: # j�-I�j -� <br /> ARC�IITECT/ENGni 1EER: PH0�1E: <br /> �IAII.ING ADDRESS: CITY: ZIP: <br /> NA.IZE: REGISTR.ATION# <br /> TYPE OF WORK: New Addition Accessory Structure ( <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: ���'jkt��� �� ����/(i� r�+�. ���� ly <br /> '(� �. <br /> �cc�Ss;;�1'Y ��(i ILYi-'!9 `��' S ja,^��`i�' L� o�r I�c�✓or.0 /19C�cyl f�r/BL�/��� C � vr�rr-r_�. <br /> _—T i <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROO�SS: GARAGE STALLS: ATT. DET. <br /> ESTLtiIATED CONSTRUCTION VALUATION (excluding land): $, / � �� ,, �%c_� <br /> I hereby apply for a buildin� 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> perm.it; and that the work wilI be in accordance with ,plan. <br /> � <br /> APPLICA��1T'S SIGNATURE: �� �( . ��ATE: ���G 1/ Q � <br /> � <br /> NOTE! Parade o Homes events require separate permit approval by Police Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />