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f, • <br /> . Total Fee: $ �j�l a.j� Date Received: 7' � � -- �$ <br /> Entered By: Permit#: �G � � <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 /> TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR � <br /> JOB SITE ADDRESS: 52�S C��h v�5 �P-�- �-�� ZIP: C�� 3�� <br /> NAME OF OWNER: �� .�`�lc 1�j y�cx � �( PHONE: (home) �� � ����1� <br /> (work) <br /> MAILING ADDRESS: 3 ZC�� �;in�S ��T- L-,��� CITY: �J ;c�s��- ZIP: SS`� <br /> CONTRACTOR: S L� I��.�� �� �u��G�'S PHONE: �('�z 3 Z <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CJ�7C;� pc��1vt �S. `����1 CITY: /�l c�vu,.��v� ZIP: �5`f 3 j <br /> STATE LICENSE: # !-�Zv� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1V�: REGI5TRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> V"�V�cr:�- �— <br /> PROPOSED WORK(describe in detai�: ��,,.r �-� , r�'�.,._, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2�� aC� <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 /> APPLICANT'S SIGNATURE: � o��l'G,�UwI����,� DATE: �l -Z Z-�`'c� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment a�ed <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />