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f - ��j <br /> Total Fee: $ ����� � v / Date Received: t- l�-U 5 <br /> � <br /> Entered By: �(YL -� �\�,,�,� '�L�, Permit#: i t C�S1� 5 7 <br /> a-'� ��,��� � <br /> ;, �7 <br /> CITY OF ORONO - Bi�II..DING PERMIT APPLICATION <br /> All information must 6e submitted in full beFore plan review will be started. <br /> � (please print all information) <br /> T�iE APPLICANT IS: (circle one) OR CONTRACTO <br /> JOB SITE ADDRESS�—I� �( �o�Lr�r l���v� z�: 5 S 3�(G <br /> NAME OF OWNER: ��uh F��G�n c� �,�;n�� �-�-C_PHONE: (home) <br /> (work)G��=� -�{1,�- IQ-1 I <br /> 1�IAILING ADDRESS:.��=;CY> �'S���e � r�:u� CITY: �i r o n O � ZIP:�.�i�, <br /> CONTRACTOR: :�,hn I�rrc�r�er'_ NnYrt�s � PHOi�TE: �50?-�73-fq� � <br /> CONTACT PERSON: .���r d z�-�- MOBILE/PAGER: (o/o� -3('o(o - ��f�� <br /> MAILING ADDRESS• ��:o �• � �. CTTY: (:r o n�� ZIP:� <br /> STATE LICENSE: # f3G -.�D3� S <br /> , <br /> ARCHITECT/ENGINEER:� d . L-��� ���, ! �1 C � PIiO\'E: �T� J I ' � ��_ I � ��' <br /> MAILING ADDRFSS.��-1 G' �L�c'k�C�;�•� tk�#�, CITY: j��t,`�� (.^�����.- z�� 5 5�-' ��' <br /> NAME: �1 c=' -�c'r" � i � C L t,�-���_ i��(�-: .REGISTRATION#�� �(� � <br /> TYPE OF WORK: New _ (� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: j� t ,-,-, 6��Y' /n c�.-,� o irt� _ <br /> STORIES: I SQ.FEET OF EACH FLOOR: rY�'i.�r� 1 q O l — Lo t�C,4_r l$9(o <br /> NO. OF BEDROOMS: J n�a�r, GARAGE STALLS: ATT: � DET. <br /> � w�ue� <br /> ESTI�I�IATED C0�ISTRUCTION VALUATIO�T (excluding land): S �yS _L�Z'�"�� <br /> I hereby apply for a building pernvt 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 ac ance with the approved plan. <br /> _ ._.._..._ <br /> . . <br /> APPLICANT'S SIGNATITRE: � „ (,N1, DATE: � /�- v`) <br /> NOTE! Parade o�Homes events req re separate permit approval by Police Department and <br /> City Counei160 days prior to the event. Non permitted events will not be allowed. <br />