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Total Fee: $ f; `-/� `�� Date Received: `�> 1 � �� � <br /> Entered By: � Permit#: f� � =; 4^ �'� <br /> ?�%,,.'`' `' —�/ � '-i ! _ , <br /> � CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan re�-iew will be started. <br /> � (please print all information) <br /> TI3E APPLICANT IS: (circle one) OWNER OR N C �,� <br /> � ,� l, a <br /> JOB SITE ADDRESS: Z�(�C'�� ���V Z�: �j'S ��j j� <br /> � � ^ <br /> NAME OF OWNER: � C. '� �-�.,�.,� PHO\TE: (home) <br /> ��, � (work) <br /> 1�IAILI�i 1G ADDRESS: i-'l%�L'1��=�. . CTTY: ZIP: <br /> � <br /> CONTR.ACTOR: �1 r , r ,� ` ' . �-- PHO�tE: '� (a3��7`��/�� <br /> �C0�1'TACT PERSON: <<�s 'I..�v� o�.v�g 1-iOBILE/PAGER: (s�iz-3�'r�- �fG��� _ <br /> MAILING ADDRESS: 5 Zy � g,., c��� CTTY: .�►�e �' ��,,,;, ZIP: S�3�1 <br /> STATE LICENSE: # �i 7 3 3 1 �, <br /> ARCHITECT/ENGINEEl�: ��,'4� ,,,L�- `�^N�d PHO\'E: <br /> MAILING ADDRESS: C�.,�.n.�S� CITY: Z�� <br /> N�y�: REGISTRATION# � <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PR OSED-LWORK(descnbe in detai�: C�UI� <br /> " , In�- <br /> '�\ fi �'_�� ' . <br /> ; <br /> STORIES: SQ. FEET OF EACH FLOOR:`�/�DC1�� <br /> I��O. OF BEDROO�IS: GARAGE STALLS: ATT. � DET. <br /> ���� <br /> EST iMATED CONSTRUCTION VALUATIO` (excluding land): � � � <br /> I hereby apply for a buildin�pernzit and I acknowledge that the information above is complete and <br /> accurate; that the work will be ' confo ance with the ordinances and codes of the City and with <br /> the State Buildin� Code; that I k�nders d this ' ot a permit and work is not to start without a <br /> permit; and that the work will e ' accordan with the approved plan. <br /> APPLICANT'S SIGNAT DATE: �/O ��� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />