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� Total Fee: $ '� � �� � � Date Received: �--/�-a � <br /> Entered By: Permit#: �C �� � j <br /> T <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 /> THE APPLICAN'T IS: (circle one) OWNER O ONTRACTORj <br /> �f <br /> JOB SITE ADDRESS: 10�b Cox F�t' �L� iz-i� ZIP: '�; 3�(�, . <br /> NA.�iE OF OWNER: Lii.��! ;��7'�l�>i Z L c�YD PHONE: (home) j5 Z - 973• S�=�5 <br /> . (work) <br /> NIAII.ING�iDDRESS: Io�c Ga� F F,2 �-r /z� CITY: o�c�lo ZIP: �3 3�cP , <br /> CO\�'RACTOR: .S't/�!�f^�� S'P�1�'F , �NC� PHOi�'E: Co i 2 N2 l� �j��` <br /> CO\-TACT PERSON: Sr�=f-=�•lrC K✓C—c,�=� l�IOBILE/PAGER: <br /> 1L�II.,L�1G ADDRESS: 4 r i y- �l/eou.�i ���- CITY: n-�i��- ZIP: �� o <br /> ST�iTE LICENSE: # z��l y I 1 %{1s <br /> ARCHITE CT/ENGItYEER: I`t� C°<���l l��( � /\�,o� _ PHONE: <br /> vIAILING ADDRESS: CITY: +-'(Y�-� ZIP: <br /> NA.�IE: �h R �`�T���i ��T�ti t�� REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK (describe in detain: �i�/i 5F/ �ow�n C�ii�� ��vi�-�c� S��c.F <br /> /�/�'L Ui�/�� ll Rt��Yo��'�-4, T-�tThl, ��/���tF �P<\C��, �f2 G £=n/r�l2T7�i���i t�.Z;�_ �'L-� . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> \O. OF BEDROO�IS: / GARAGE STALLS: ATT. DET. <br /> ESTLIIATED CONSTRUCTION VALUATIOv (excluding land): $. coo, o� - �� <br /> I hereby apply for a building pernut and I acknowled�e that the information above i� 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 win be in accordance with the approved plan. <br /> APPLICAitiT'S SIGNATURE�� „�- `' , .,���. �% DATE: � u-�- ��, �`�"i <br /> , <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />