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c <br /> � �Total Fee: $ r'�� �'� � DateReceived: '�- 3� 9(0 <br /> Date Approved: <br /> Entered By: �Ut Permit#: ��� / <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BESTARTED <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: y�(�5 �=1�i �P��u.')9 �-.�v- ZIP: S 5 3 5 G( <br /> NAME OF OWNER: � t ►� C�Rrv�c.�-� PHONE: (home) y�f r-t-U�7 v <br /> (work) � i � <br /> MAILINGADDRESS: LI3i�5 Ch�P��c,Ux► L•v- CITY: U,rZ�, ZIP: ss3�� <br /> CONTRACTOR: �� /�? PHONE: <br /> -� MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHTTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ '� L.and Alteration <br /> PROPOSED WORK(describe indetail): ��:��,%� n� Tz��q T�d> ���`c.lc ,_ ,�� <br /> 7�c�-� �,;� <br /> �- <br /> STORIES: � SQ. FEET OF EACH FLOOR: ���O <br /> NO. OF BEDROOMS: ¢ GARAGE STALLS: ATT. � DET. <br /> �n <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1�� <br /> I hereby appl_v for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> J r� <br /> APPLICANT'S SIGNAT � DATE: / -3 ��lp <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 9 ���� �''�� ��, �l� <br />