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� _ <br /> Total Fee: $ � �, �=j Date Received: Z— �—OZ <br /> � ,�tered By: Permit#: A D �'9�Z <br /> ' 1 �\�' <br /> V1�1,��`� 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) �OW EN R R CONTRACTOR <br /> JOB SITE ADDRESS: �(� JC? /�f�}�L I� ZIP: � .S 3�t�/ <br /> NAME OF OWNER: ��,.�res � i`����> �/N,v ,l7/�/�G4�U�ST PHONE: (home)�"7�"'.�C�%� <br /> � (wark) IS���7� --5.�% "''� <br /> MAILING ADDRESS: sct�fc- CITY: ZIP: <br /> CONTRACTOR: �>�v,(i��✓; PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ' <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ,.,� Addition Accessory Structure <br /> Move Remodel/Alteration ;i Land Alteration <br /> � t{q <br /> ' `�. , �L�Y,. <br /> PROPOSED WORK(describe in det i�: � �� �x ,�.vs ic.�✓ ���s,���.-�- � <br /> � " .�3 � � a S' ('�a�wc1 C �: - ��� _ �i'�'cF r� .� ` -Y ' �xrs.� <br /> /����ri�4 ,�.L �/��rc��:�l- l�/- C�/� ('�,u•u ,' ��.�, /�,�8�0� �" �� -.�73 r�s v�u.�o,;. .� <br /> STORIES: SQ. FEET OF EACH FLOOR: `-� �'��' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ` �!�- , , `~`J <br /> "1��� L� <br /> ��� /Yhereby apply for a building permit and I acknowledge that the information above is complete and <br /> / T�ccurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> -� r�'�,�the State Building Code; that I understand this is not a permit and work is not to start without a <br /> \��a\ ��' permit; and that the work will be in accordance with the approved plan. <br /> _..�___ ---, . <br /> ��---�..`�,:, /� / < <br /> APPLICANT'S SIGNATURE: � DATE: `� � <br /> � <br /> NOTE! Parade of Homes events require sepa`r te permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />