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� <br /> Total Fee: $ i'��-", ��5 Date Received: <br /> Entered By: r�:�����' Permit#: `i�3 � ��3 <br /> CITY OF ORONO - BUII..DING 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 SIT'E ADDRESS: r?jC�'C� F��.v��,:�, L.q,,;,F ZIP: 5535 6 <br /> NAME OF OWNER: I�N 1 L,� �`,,�2� PHONE: (home) <br /> (work) y� 6-��.E y�- <br /> MAII.ING ADDRESS: 3 0�� �a�2J�bu� t,.flUi.� CITY•c,_�,ti o i,�u,� ZIP• 5 5 3 s 6 <br /> CONTRACTOR: TN�, C��;���s C���,:�w� i,��. PHONE• 1-i 7 J_ 5?�S" <br /> CONTACTPERSON: i�� 3�:,,i,�� MOBILE/PAGER: ��� ��aq3 <br /> MAILING ADDRESS:_�_l c5 �� �� 1`� CI1'Y: ,�,c<<.�,� ZIP: ,�,,,,553(,<� <br /> STATE LICENSE: # 3�,�-� <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 detai�: Z'vy-�'A�c�. 6���"r��%� �6�.V� , Py �`� Ll� <br /> r��"i,;ct>e� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '?, �,cC; � _ <br /> • � <br /> I hereby apply for a building permit and I aclrnowledge 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: �,�z,4f,,.. �-�,� DATE: �-�-����� � <br /> NOTE! Parade o 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 />