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� . . <br /> :J� <br /> `��,( `_> - -�(�' `' ;�;� C; <br /> � �otal Fee: $ � Date Received: ,� <br /> Entered By: /� r? Pernut#: �� l�' i/ !=�2_ <br /> '�v, ,��, >, � �./ �. `� � <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: _ 142� 6a�►�•ss PotNr (Lohv ZIP: <br /> NAME OF OWNER: �oppyE, W AC�E.NER PHONE: (home) <br /> (work)_q5 2• �q1 • 13 40 <br /> MAILING ADDRESS: �25?.o WatilZp►t14 FSWD. CITY: MT1�A, ZIP: y�",3o S <br /> D�. �g-2o [3ol-41J5 PvtrT 1�NA <br /> CONTRACTOR: OvJ NE.�t. PHONE: 452. Zq'1 . �34.0 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: S�EN F��kkl'Et PR-c-t�• PHONE: 'T63- Sd4• 3fa3�j <br /> MAILING ADDRESS: 49 S q Ut so N M��'1. 6�t�uY. CITY: M P�S. M w ZIP: �5422 <br /> NAME:_ 5'1"�VE N F t C N�t, REGISTRATION# ���49 <br /> Ex t 5T. (7av�a <br /> TYPE OF WORK: New Addition � �Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � �2� t,.�'NloT6E 'CD Ext S-t, �14tt-A�G� � <br /> 1-o W-St,o f E !�o'aF : -u S E !o A�R�6 E 'Doa RS : A.DO ^['o E x 15't' Po Rt K�VE s�n Au t,g <br /> STORIES: � SQ. FEET OF EACH FLOOR: 'S� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): $ 1 O �oGY� <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 Ciry and with <br /> the State Building Code; that I understand t ' is not a permit and work is not to start without a <br /> permit; and that the work will be in accor a e with the approved plan. <br /> APPLICANT'S SIGNATURE: � ' DATE: � -- �3�' �G� Z: � <br /> . <br /> NOTE! Parade of 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 /> 5 <br />