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.Total �ee: $ / ��,�F � Date Received: � -- ��- `/ `�� <br /> Entered By: ° - Permit#: l I 1 � ,3 <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER 01��ONTRACTOR', <br /> JOB SITE ADDRESS: 3 �� � �:,y � c-,�, I � ci c�c J ZIP: J �a �3 (P �-f <br /> �., /'t r"��G i...i..�C_ <br /> NAI�ZE OF OWNER: I L��� �, r1 �, ��, � k n,, PHONE: (home) <br /> --T (work) <br /> f —� <br /> MAILING ADDRESS: 3 r1 ��� � '� � ��- � CITY: � �`: >-,�� ZIP: S 5 3 c� <br /> CONTRACTOR: C��3 ���� I �-�,,-,F .-.--{� PHONE: 3`� C� `��. `-t / �? <br /> CON'TACT PERSON: ��,.1 C� o o I c,6, P+'IOBILE/PAGER: °� 2. `�6 c�.S�% "s (.� <br /> MAILING ADDRESS: `t--Z� s� Sti�r��-��n S� CITY: t'"��t ��. ZIP: S �� `( ��> <br /> STATE LICENSE: # .3 a�4-c�,�t�� <br /> ARCHITECT/ENGINEER: (��S�-��� 4 l��-���, .� PHONE: `� z-7 — Lf `�'Y `f <br /> MAILING ADDRESS: `L�7S r'1 c��� kt� St- , ` ITY: i�� c 3. ZIP: s s��/�T' <br /> NAME: 3�, .-� ��� _.:� t,�f REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK (describe in detain: h2� �-�L�.1 �-�.+v�.-., � �s f�r +.3a,�'� �^��� <br /> b'�a�...�- ..�,L�. �' �cr r — S (�L' �c -��;'.c_ '��G!4�4., � �'� !�... �'.'1T +`,� <br /> -� V <br /> STORIES: � SQ. FEET OF EACH FLOOR: r���?��> ,s r , ���o Z '" <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. _� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I 3 C.� G 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 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 /> ,,r <br /> APPLICANT'S SIGNATURE: � � � ���� W ��� � DATE: � ` � � <br /> / <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />