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Total Fee: $ '1 � � � Date Received: �-�/-p,� <br /> Entered By: �I�2f - Permit#: ,��(�a� <br /> , , , . <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 CONTRACTOR <br /> 30B SITE ADDRESS: � B�ACI�Tj.'S I"a�;(�T /�D- ZIP: <br /> C���L� � <br /> NAI�TE OF OWNER: c�i`i�.5 �y� PHONE: (home)�z "���" �z� <br /> . (work) EJ�,Z -�'Z - 7—� <br /> MAILING ADDRESS: 'S,t�/Vl.� �-5 l�,�4^� CITY: ZIP: <br /> CO��TRACTOR: ��I�\ ��"C-)z C��.'ST. �.�-'�G PHONE:_ �Iv�L- S��a '��� <br /> COti�'ACT PERSON:�o�_p�7-�'E�_ l�IOBILE/PAGER: �! Z- Z8 z -7�l3ro <br /> NLAII,ING ADDRESS: 3( -v �'� �- CITY: �i�,✓h��S��G-,r/ ZIP: S 3! <br /> ST�TE LICENSE: # D I. �3 <br /> ARCHTTECT/ENGTivEER: �j�U.GE- �C.l�i��zt'�-�S.SvC PHONE: l✓��- �71�-� �a� Z!Z- <br /> iVIAILTiV�G ADDRESS: ��-r /�'j .t�iTo QA c,'E. :5�. CITY: �Q' ZIP: �1( <br /> NA.ti1E: REGIST TION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ti' Land Alteration <br /> PROPOSED WORK(describe in detai�: pl ��F,/ /1�j��r��L �`D�o�,ct � LS�I"� <br /> /��PfA F <br /> —,, <br /> STORIES: Z SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: �_ � GARAGE STALLS: ATT. � DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ '�"� vt�p, a o <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 wilI be in ac dance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE. ,�,-�Y�� DATE: �f` �''�.3 <br /> NOTE! Parade o Homes events require ,separate permit approval by Police De�artment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 ' <br />