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. L <br /> , . --.�. <br /> Total Fee: $ e��-�t��-`I-`� '� ' > � Date Received: <br /> Entered By: ,�%1..0 Permit#: �;2/ <br /> CITY OF ORONO - BUILDING PERNIIT 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 1�R CONTRACTOR <br /> �__�- <br /> r, <br /> JOB SITE ADDRESS: t ��;�_' /l�{�L'� ��'��- `�, ZIP: ����I i <br /> ' ��r ��� <br /> NAME OF OWNER: ��� - ��' ���%�--� I��l��.= PHONE: (home) � � <br /> �� � ��� �ITY: (l,�rk) J� � (��,�� ��� ) <br /> MAII.ING AD)RESS: � �-,� �-1QJVV U� ���_ ' t ZIP: �� <br /> . --r.__ <br /> � <br /> � <br /> CONTRACTOR: ���=� � � ��t>C_� `� PHONE: `��( �"���� <br /> CONTACT PERSON: �--�Ldt,�, °��.�� � i,X c_1�.�_ MOBILE/PA�ER: �I;� - ��,` �! - <br /> MAILING ADDRESS• l^�I �� � Ft�� ,`�— CITY: y�=='��r►�`-S'��-�',' ZIP: ?> > �'>'�'� <br /> STATE LICENSE: # J�(�� <br /> � � r� � � <br /> F �`'j��,� � � � .- ? �- -C> <br /> N INEER: ��`�---- �_` -+� PHONE: ` <br /> ARCHITECT/E G � <br /> MAILIl�i G ADDRESS: �:��Y��S � �G' T :f CITY. _����' ��,:��:' ZIP: 5� .� Y <br /> ' � , ` REGI5TRATION# �? ��, C� <br /> N�: , ,, ,, � ,�-�r.��,�� 1 � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: � I�i 'c:i��-�_ ='rt� �l l'}��� � - -acX��� s' <br /> {�.�ti ,, �,r��� � '�� : � i �C�G i.' U ti c �' tl / � � �� _ ►� <br /> { , , \(' 7 J, <br /> � ,_{� �' , �ti �z; _ z:�q _y-� �.� ���- -fil�r-� <br /> STORIES: � � . FEET bF EACH FLOOR: ,�1; �'� � � <br /> NO. OF BEDROOMS: '���� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � ' � � �C%' ��� <br /> � <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 /> � , <br /> � � I., <br /> APPLICANT'S SIGNATURE• � �� t�'°'�.�U�X� !< �(� DATE: ��`�,'.��'�?.� <br /> NOTE! Parade o,�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 /> 6 <br />