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J ` / <br /> Total Fee: $ Date Received: ,�-� /- CU% <br /> Entered By: Permit#: A O 3��� <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 CONTRAC�T R <br /> JOB SITE ADDRESS: �� 75 L-/�'L��K <�.%���t� ��;'��Z ZIP: <br /> NAI�iE OF OWNER: ��v'� �`T�—]� PHONE: (home) �1�Z- `t7�-�-r'1�`-��` <br /> . (work) �i.�'L-7 Y"L - �f7�"� <br /> MAILLIIG ADDRESS: ��'7,,5 ��?���w�'�t%i� CITY: c;'l'Gr,!G ZIP: <br /> T7��.�z- <br /> CO\TRACTOR: ¢�C��. �S!'it- �G�ccy'i S -- PHONE:_ ciS Z- -�S`t��c��Zc <br /> CO��T'ACT PERSON: ,ncS S MOBILE/PAGER: 6'i Z -.���1-.3�i 7 <br /> 1bLAII.ING ADDRESS: �°�-/.S t✓�1't'Z�h-,C�c..�c� CITY: .�i. c,�-�.s.-3 Pmr'�IP: v�"S�f�� <br /> ST�TE LICENSE: # <br /> ARCHI'1'ECT/ENGINEER: PHONE: <br /> vI_AII,ING ADDRESS: CITY: ZIP: <br /> NA_liE: REGISTRATION# <br /> TYPE OF �VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: pCar' � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOviS: GARAGE STALLS: ATT. DET. <br /> ESTl�IATED CONSTRUCTION VALUATIO�i (excluding land): $ �G�-c'-�- C�� _ <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 Buildin; Code; that I understand this is not a permit and wo�c is not to start without a <br /> permit; and that the work wilI be in accordance with the approved plan. <br /> APPLICA:�1T'S SIGNATURE: �'-._"�- DATE: � �% �`-f <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 />