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i <br /> ' I <br /> Total F�e: $ �(o 'l. 7� Date Received: ���'/�r i ; <br /> Entered By: �[°,�_ Permit#: ll..5�3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review w-ill be started. <br /> (please print all information) <br /> ���------------- ----- —___--------- -------------------- <br /> T�� A.PPLICAI�'T IS: (circle one) OtiVNER OR ONTRACTO <br /> ���r, <br /> JOB SITE ADDRESS: . c.��n Z�� <br /> NA.NIE OF OVY��R: -�� ��n-�rr� eJC PHONE: (home) � � c�, j1-� <br /> (work) <br /> �r�,�rG�nnr.F,ss: �� S� ��J�� crrY: ��►�o z�: <br /> covTxacTox: V�'�n�- �cr�s�c �-�� PxorrE: (-���,� � ��--� I _`�� <br /> CONTACT PERSON:��-�-�,PA►�� �--��.cc���'iOBILE/PAGE : I � -- � <br /> ��TG�DxEss: �1��3 p�c��Q ���c1�: . �� , z�e: .��1� <br /> STATE LICENSE: # `�S��-i C� <br /> ARCHITECTlENGII��ER: �— PHO�'E: <br /> �IA.II.Itii'G ADDRESS: CIT'Y: ZIP: <br /> ���: REGISTRATION# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSF,�D tiVORK(describe in detain: �`1Q,��[e�_—��cc �`'� �c � �'�(���' <br /> ��_nti� Ic�.,� � Ir <br /> � <br /> STORIES: SQ.F'EET OF EACH F'LOOR: <br /> NO. OF BEDROOiI�IS: GARAGE STALLS: ATT. DET. � <br /> ESTIi�IATED CONSTRUCTION VALUATION (excludi.ng land): $ ��� � <br /> I hereby apply for a buildina 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 Build�z� Code; that I understand this is not a permit and work is not to starc without a <br /> permic; and that the work will be in accordance with the approved plan. <br /> //� � � <br /> A.PPLICANT''S SIGI�TAT'URE:��� (�ti^_,,��,s, �.i—� DAZE: �1�_1T / � (�► � <br /> NOTE! Parade o Homes events require separate permit approval by Police Depariment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />