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- .��- � , i <br /> Total Fee: $._.5-�o S. �f� Date Received: �f��l�y' ; <br /> Entered By: ,G! • Permit#: l Q � 83 <br /> CITY OF ORONO - BUII.,DING PERMIT A]PPLICATION � <br /> A.11 information must be submitted in full before plan re�iew will be started. <br /> (please print a11 information) <br /> THE APPLICAI�T'T IS: (circle one) Oti�7NER CONTR.ACTOR � . <br /> JOB SITE ADDRESS: ,����S �is��s `�r z�: <br /> � NAME OF OWNER:�y" �y I�i4�7�1 Y E-I►41�LOx�a�J PHONE: (home) �7/ �� <br /> �,L (work) <br /> 1�IATLING ADDRESS: _ f�� �/�.e.� �r F�;ITY: Q�,eU.t�2� ZIP: <br /> � <br /> CONTRACTOR: � PHOiVE: ��y�9��9 � i <br /> C0�ITACT PER�SON: , 3 MOBILElPAGER:, 9��- ��y �, <br /> M.�,II�I�i tG ADDRESS: /���1� (��,�''i�ki �zi V� CITY: �f'.Kl �.9i.P,_ZIP: �-3 <br /> STATE LICENSE: # f 7�� � � <br /> ARCHITECT/EIrTGINEER: ��n PHOI�TE: �' <br /> i��iAII�I�i TG ADDRESS: �� CI'I'Y: ZIP: <br /> 1�'AME: w REGISTRATION# <br /> TYPE OF tiVORb: I�Tew Addition Accessory Structure <br /> Move � Remodel/Alteration�_ Land Alteration <br /> PROPOSED tiVORK(describe in detain: {�i,c)>�N p�� �,���m.��.� i ,�,e�i� <br /> STORIES: SQ. �'EET OF EACH FLOOR: � - <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> , <br /> ESTII�iA,T'ED CONSTRUCTION VALUATION (excluding land): $�G�x'7 <br /> I hereby apply for a buildin�permit and I acknowledoe 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pemut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA DAT'E: <br /> NO�'E! Parade of Flomes events require separate permit approval by P ice Department and <br /> � City Council 60 days prior to the event. Non permiited events wi11 not be allowed. <br />