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� �'�I <br /> � <br /> i �n� ' 1 <br /> Total Fee: $ Date Received: i�� ,�7��' �- <br /> Entered By: � �' ��:� ,v Permit#: � � 5"�4'?:� <br /> , <br /> ,�J��, � , <br /> CITY OF ORONO - BUII�DING PERNIIT APPLICATIOI�T <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) �W_NER R CONTRACTOR <br /> JOB SITE ADDRESS: � �� ��q .-�--5�a����. ZIP: <br /> NAME OF OWNER• �2�h�r�j �-c% l�d r�o:�s Pxorr�: (home) C/SZ-g 3 I- �.16 a <br /> • (work) `'�SZ �3 Z- 3i o-� <br /> MAII.ING ADDRESS: `�y�',/ � g�, �'•/s��, CITY: �j��o�.-r►r���`v 1 ZIP: S��t 3�7 <br /> �� <br /> CONTRACTOR: S� � �� PH0�1E: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECTlENGINEER: ������� �'�s�y•, PHONE: 3 2�' �=/`�'S Z l 3 5� <br /> MAILINGADDRESS: p.D, �vX y27 CITY: �-✓�sjw�i' ZIP: S`�3`�.�' <br /> NAME: M i r�he l� G�, t T�'�.� REGISTRA.TION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: C���i1 <br /> STORIES: � ,Z SQ. FEET OF EACH FLOOR: � � � � ����'��' `��t �i'Z 5 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3�� ���' <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 �uilding 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 /> APPLICANT'S SIGNATITRE: ; � � ��� DATE: ��" Z�" ��-- <br /> NOTE! Parade.Qf 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 />