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• , • - <br /> ' � �'otal Fee: $ �(/ 5 • Z � Date Received: <br /> Entered By: [',� , Permit#: A p ), � �f�~ <br /> , � <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION a <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: oZ,v�.`-[O N'��^''���� �`/ ZIP: '' J�J�Io <br /> �j � <br /> NAME OF OWNER: / �(G+CG lc9� �`/�o�'k � PHONE: (home) i(y`� �'y76 <br /> (work) <br /> MAILING ADDRESS: ��,,,.c CITY: ZIP: <br /> CONTRACTOR: ��-1� �'�¢�c. L—t�x. PHONE: (c�✓! �f55f��,(�C <br /> CONTACTPERSON:(���,o� MOBILE/PAGER: G !�3631o3D <br /> MAILING ADDRESS•.3 S�b�e y N'�e.r... CITY: �'r��N ZIP: ��''/a�- <br /> STATE LICENSE: # _ � j-Z 3� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIVIE; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure C�� R�`��� <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK( escribe in detai�: �v e��-' ����N��-- �9�-T /��s 7'`� <br /> �}-�r O v T � N K C8/'�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ l oZ,,C)04 -���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 n t a permit and work is not to start without a <br /> permit; and that the work will be in ccord e wi the approved plan. <br /> APPLICANT'S SIGNATURE: A'�� �� �� <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 /> 5 <br />