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<br /> - � Total Fee: $_� `��/�, :��f Date Received:
<br /> Entered By: , � Permit#: `%j� 7
<br /> CITY OF ORONO - BUILDING PERMIT 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�t CONTRACTOR�
<br /> _� _ .� `_ � - ___.
<br /> JOB SITE ADDRESS: '��`_� "` t _;��o�,{-A� ` ,�, ��_ ZIP•
<br /> NANIE OF OWNER:`�'� � �;�nev� v,���� � PHONE: (home)�j� � ' �l�`i�
<br /> � '�'��— (work)
<br /> MaII,mTG anDxESS:�3•�� ������u\ ���, \�,��.CI�: ���v� Z�:
<br /> CONTRACTOR: �,�„�� �\��nc����n•,k� (.��.'r^•`�'i PHONE: �-I�I� "�`J ��1
<br /> CONTACT PERSON: �;l ��1 n;�,��y,,,{�• MOBILE/PAGER: ,�1 - ��-��.�
<br /> MAILINGADDRESS: q1^� ��w��G�.�,`��7� ��,,,;,t CI1'Y:�,\,,r,�;,,.7«,C�„ ZIP: ;;: ; � ;
<br /> STATE LICENSE: # �}?�,, o
<br /> � �
<br /> ARCHITECT/ENGINEER: �`,���;�►1N� ��r�i i t.; . PHONE: ��7�j y ��'% � �
<br /> MAILINGADDRESS: \' .;,i��<�,. l ._�r,.;1t~�,�;1 �•,�e ' CITY:�}��,� , t%`��,,:,.;. ZIP: ��c�=:.>l
<br /> NAME: �, ;.,� ���k_�-t-Yz_ REGISTRATION#
<br /> TYPE OF WORK: New Addition� Accessory Structure
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK(describe in detain: ��,-tia, � � '� � �
<br /> or., � - �x-��:r���;
<br /> ����.� ",�k. ��t ���'.irb�:�,+\ �, - 'e::L� +��rr� �I �
<br /> k��: �ll��;��. ��-���_��"o'�����- ;
<br /> STORIES: SQ. FEET OF EACH FLOOR: �}�,� -- !�._'�a�;� �t:�-.���:�
<br /> NO. OF BEDROOMS: `-' �eu..� GARAGE STALLS: ATT. DET.
<br /> ESTIMATED 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 Ciry and with
<br /> the State Building Code; that I understand this is not a permit and work is not to start without a
<br /> pemut; and that the work will be in accordance with the approved plan.
<br /> 7 '� "'. � . �� ; ��A _/
<br /> �
<br /> APPLICANT'S SIGNATURE: /^� ��"s�,% DAT'E: F>�,* �
<br /> NOTE! Parade of Homes events require separate permit approval by Poliee Deparlment and
<br /> City Council 60 days prior to the event. Non permitted events will not be allowed.
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