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s � <br /> ' Total Fee: $ %���, �,� Date Received: � -��� -,�(�j� <br /> � � Entered By: �'�•2Z- Permit#: ��� �/,k��'� <br /> ���v,/ <br /> ''1� � 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: ' ��; L,�yS��L C/I�E,� ZIP: S S35 l� <br /> NAME OF OWNER: �;� -�;,,,(rC I�EZ�2�.sE PHONE: (home) G/SZ 5/G�/�yg 75- <br /> (work��6,c:� �l SZ-��7 •��/ <br /> MAILING ADDRESS: /�� ('�u�y�/ �'�K CITY: L ZIP: �� <br /> . <br /> CONTRACTOR: f-�i �I�Y.�;� N�'Y► .S C,L. PHONE: cjs`Z- y�7:3- /��j�l <br /> CONTACT PERSON: �juC� `T'e�� MOBILE/PAGER:_SSZ- �Z�C �--zC /C <br /> MAILING ADDRESS: /� '$,��ujj4y �,t;fit, CITY: ��_ZIP: S5��� <br /> STATE LICENSE: # P�- Zo3��s�,�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration �_ Land Alteration <br /> PROPOSED WORK(describe in detain: �;,.�;s�,��, L��;E� (.��;�L <br /> . � <br /> STORIES: L,L, SQ. FEET OF EACH FLOOR: �C� 7� �F <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. DET. <br /> �c� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/Z Q�v, <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 Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z- 1_3•- O� <br /> ���I C.�.% �C'r+�►C-"`-� L�--L <br /> NOTE! Parade of Homes events require eparate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />