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� i <br /> r � .� � � � � <br /> Total��e: $ �; ��' � `' Date Received: - / -�C%�% <br /> E��e"d By: �,� f�/.) Permit#: C y7�1 <br /> l, ��vY_��, � � �,� f <br /> CITY OF ORONO -�:��DING PERMIT APPLICATION r <br /> I <br /> � ; <br /> All information must be submitted in full before plan review �-ill be started. . � <br /> (please print all informaiion) . <br /> THE APPLICAir'T IS: (circle one) O R O ONTRACTOR � <br /> — G <br /> J OB SITE A.nDxESS: I �•�J �����'L. G�E F k QR.Z�: 5 5 � `l j <br /> I �G <br /> NA11�IE OF O�'V��R: L�GQ%�e�e� �ec�e����lL°1lf�PH NE: (home) <br /> wor �SZ `/7 3 'zs" <br /> �r�.�r�AnDr,�ss: a�S'� f,t9� (.(9� B�a. ��rrY: z�: �� <br /> ' �sd� <br /> co�cx.A.crox: � xo�: `l� a �73- <br /> CON'TACTPERSON: a(p� �,iv�. ��O,B,,ILE/PAGER:� /0 7�� �� f/��� �yyyy <br /> MA'[Lliti'G ADDRESS: ��� ��'�ITY: ZIP: <br /> STATE LICE�'SE: # � <br /> ARC�iIT'ECT/E\'Gl�i TEER: ��4 NI�VI�1,���lJ pd 1/� PHOti7E: �o�f 7�,� �o�1�� <br /> 17AILItii'G ADDRFSS: CIT'Y: ZIP: <br /> �TAME; REGISTRATION# <br /> TYPE OF tiYORI�: New � Addition Accessory S�ucture <br /> Move Remodel/Alteration Land Alteration � <br /> � J <br /> PROPOSED'4YORK(describe in detai�: <br /> ` o.r���. , � <br /> STORIES: I SQ.FEET OF EACH FLOOR: �'I � a" <br /> NO. OF BEDROOMS: � GARAGE STALIS: ATT. _� DET. � . <br /> FSTII�IATED CONSTRUCTION VALUATION (excludi.nA land): $ 'T 7�� ��' ~ — � <br /> I hereby apply for a building permit and I aclrnowledge 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 Build�n� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and tha� the work will be in accordance with the approved plan. <br /> APPLICA.��"T`S SIGNATURE: <br /> D�TE: l V " a <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Deparlment and <br /> � Ciiy Counci160 da s prior to the even't./ Non permitted events will not be qllow�� <br /> •�,�;.� �. Z ��.s .,L,� S' �� �tC <br /> �'l/� S- -zt�,,t-�-�.�C '-�; � <br /> � �l���1(�(! (�-`'�� < < , �' �r G (, . <br /> �57-r <br />