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� � ��'a �01'� <br /> . ... <br /> Total Fee: $ /787�8 Date Received: g-23-03 <br /> Entered By: �,S Pernut#: �DloB/l,� <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 O� C N C O� <br /> JOB SIT'E ADDRESS: /,�,�L- �,�'y�,�::�ry_� r"l - =l� ZIP: :.S'��`�%/ <br /> ��1��►'� � <br /> NAI�iE OF OWNER: i�A�'1.C-5 >��Lf- PHONE: (home) ��,.5 L- 2�(�_br�,�`l' <br /> : (work) <br /> MAILING ADDRESS:���1� �5���°�C KE TT�' %�T�- CITY: �i,Y��.ti��� ZIP: ��5��j �' <br /> COV"TRACTOR:� (�1` ��_' C���iJ��: ��i11C" PHONE: �'�� -�,)� - / ) ��� <br /> COI�TACT PERSON: "�U,� �►�-7'G-/�'�.. NIOBILE/PAGER: L;!�- � �? - 7 y.3 f� <br /> NLAII.,ING ADDRESS:�>53! j�`i���%'S���°'c /���'. CITY: (�fl%tti����s.S E;�� ZIP: S��.�/ <br /> ST�T'E LICENSE: #��(3��>/y� <br /> ARCHIT'ECTlENGINEER:�k'�(c:� 5����,;t� . - 55���c��� PH0�1E: J�� - =�7�; ._ �v ZZ L <br /> NI_�II,ING ADDRESS:<�a �,',7�;;� f��c,S CITY: ��,�-��4-� 'z.� t Z�: �S�3%� <br /> NA:�IE: ��o�L �-,�.-�-fc:;cs REGISTRAT ON# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration i✓ Land Alteration <br /> PROPOSED WORK (describe in detai�: C`;�� �j�E�- /�r T� tf�.�` � ���� t'-:�.�U� 1 <br /> � �,-�3 , -�->r��c� ��t- c ,� ����:��is <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ �1��' t'���' �'� <br /> I hereby apply for a building perm.it 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wilI be in acco dance with e approved plan. <br /> � F ' - <br /> APPLTCANT'S SIGNATURE:� _ � ��'1��a..-r�,,,;�� �%� DATE: c.���� "- �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department anrl <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />