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• �. ' .G Q�{ . <br /> Total Fee: $ Date Received: '�- � j- `��� <br /> 1 Entered By: � � Permit#: /O 7'g s <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION � <br /> A.11 information must be submitted in full before plan review will be started. <br /> . (please print all information) . <br /> THE�APPLICAIti'T IS: (circle one)� O�YNER OR CONTR.ACTOR� �� � . . - � _ <br /> >_ � <br /> JOB SITE ADDRESS: � �-}�C L.1 �v t,� '� �c,,,c.�. ZIP: =. 3 :�(�;�� <br /> � • I <br /> � NAME OF OWNER: t�,��� C• -.r t� a. �.. � PHOYE: (home) ,_�� i - � e� , �: � <br /> (work) <br /> b�ILING ADDRFSS: � � . CTTY: ZIP: <br /> CON'TRA.CTOR: C .. ,�t 2��fi ��Lf��,s��:_�-,.i-r�—PHO�tE• �{�I �.-� �i S, <br /> CONTACT PERSON: � '�,rY� ��-r�� ,���1, � �MOBILE/PAGER: ��=;o - �}3 7� <br /> MAII�ING A.DDRE.SS: ���:� � ��,�.�.;�� ��<,.Y�� CIZ'Y: ��:�,� . �.��� � ZI�': ��-����,. <br /> STATE LICENSE: # S�1 i �1 . <br /> AF.CHIT'ECT/EI�'GINEER: `.�" PH0�1E: � <br /> NIAILIl�IG ADDRESS: / �.. � CITY: � � ZIP: � � <br /> NA�ZE; REGISTRATION# <br /> TYPE OF tiVORb'.: New Addition Accessory Structure <br /> Move � � Remodel/Alteration Land Alteration�_ <br /> PROPOSED WORK(describe in detai�: `��i,-��:,�..� ( �� ���:,.��cl:�-� ,-�: �_�-� � ,�,�, - <br /> .k \� \/ � <br /> -l � �L.i�\ \ —.�: �.��.4.s�_.� , <br /> STORIES: SQ.FEET OF EACH�'LOOR: � � - <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. <br /> . � _, <br /> EST �MA.TED CONSTRUCTION VALUATION (excluding land): $ I S c�c� , �` <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 Ciry and with <br /> the State Buildin� 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 /> APPLICA.NT'S SIGNATURE: � t�-�z. )� . �-�r���� DATE: � -- ��; -`i 4 <br /> i <br /> NO?'E! Parade Qf Home� events require separate permit approval by Police De,�artment and <br /> � City Counci160 days prior to the event. Non permitted events will not be allowed. <br />