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� <br /> . y � <br /> , Total Fee: $ � 33.Z� Date Received: �a-/�'�D <br /> Entered By: ��' Permit #: ,� p 7// c� <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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �.j�� C�� � �P�W+� l�" ZIP: S-� � S11� <br /> NAME OF OWleTER• �l1 �11� r^ � ��1`� 1�����f�PHONE: (home) ���Z �/7C-� �7�(.3� <br /> (work) 6i z 6'C�7 �;'8�,-� <br /> MAILING ADDRESS: ��SS� � � �'��;e w�: ��� CITY: �U^�'�.{ 6'[�r� ZIP: S s� <br /> CONTRACTOR: ��5 � +r� ��►�—n��c�'S � G 3%J' 2.�3� <br /> !/ PHONE� <br /> CONTACT PERSON: -,o t7'� �-,Q1i CKsC N�� MOBILE/PAGER: �z.x T �Z iq <br /> MAILING ADDRESS: f�� � Z,�n n.�d� S�, s CITY:i..�.5 i f,� ��L�}l,�i,�ZIP: .�5 3S'y <br /> STATE LICENSE: # �,��- �1 a�� <br /> ARCHITECT/ENGINEER: 1� �i�l�v� � PHONE:,3� �`��� �s -� � <br /> MAILING ADDRE5S: i i i 1 z�^ � S�, - CITY:I,-�°yk T. �%rr�;r���. ZIP: �5 3�-� <br /> N�: ��i�� � c�e�v�.� REGISTRATION# j U�l�(� <br /> TYPE OF WORK: New� Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: .�a��G�-Al,�� � �� S�F <br /> STORIES:�_ SQ.FEET OF EACH FLOOR:�� � S <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. DET. � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � � � _ <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 his 's not a permit and work is not to start without a <br /> permit; and that the work will be� n ac" da e ap roved plan. <br /> APPLICANT'S SIGNATURE: �; �Z t 4� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent ancl <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 - <br />