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- � �c�n� .� L-�G���fz ��� — l�if i � �� <br /> , � �'�� Date Received: S�� �L�3 <br /> Total Fez: $ �l • <br /> Entered By: �� (�`� Permit#: ,4�3�`3�-,� _ <br /> L�ti ti�--�i �� C;E%�-c�. - <br /> CITY OF ORONO - PERNIIT APPLICATIOle1 <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �7�S���r�•�m-�%'�c _S� ZIP: ss �G � <br /> NAME OF OWNER: � PHONE: (home) <br /> (work)�'.� �l.L�o,�., �i��-7�'�-3�q/ <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �'/� ��n �t D-r���'�"S PHONE: TS�� �76` 5`�9� <br /> CONTACT PERSON:��..r,lc L�r�� MOBILE/PAGER: 6�� � 3���6� 3�- <br /> MAILING ADDRESS:��3�,�-�,�� �!�.Q CITY:,����,o�r,�e� ZIP: ��3 q l <br /> STATE LICENSE: # l �'6 7 <br /> �' <br /> ARCI-€ITECT/ENGINEER Ja ��t r�..�i,.-��.��5 PHONE: 6S/- � S-f� �`�6( <br /> MAII,ING ADDRESS•g�� 5'. `�'`� s� CITY:S�,��/l�✓�'�c�r' ZIP:SSc�SS� <br /> NAME: �r/fi�l,4�l�, �L,�,�-�i REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration_ x _ <br /> PROPOSED WORK(describe in detai�: /,�dJ� ��-r,yr � ��-✓ � e d <br /> ! I��'f�72f 7`� G�/ L�`-�/' T v,�G P C1 Gi h/f'/i '�-�"c�l.il G�(X i G!G-t'✓t "T �!S T <br /> STORIES: � Q. FEET OF EACH FLOOR: ���C� D � �-g�-� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. 3 DET.__ <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE� �wr �� �r`�n DATE: ��7�i��j � <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />