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Total Fee: $ / �C� � � � Date Received: `�(-��-0� <br /> Entered By: � �� ,� �/ � Permit#: lf<�,�;710 7 <br /> � �Z �:,i�;' � <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 /> --------------------------------------------------------------------------A---x__==_-�-�--=_— --------------- <br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTOR <br /> � � <br /> JOB SITE ADDRESS:`�� 're�'►�a�� C..�✓� ►�-,v�v ZIP:- <br /> � � <br /> J � �1 � (� ) � � z�- �� � -Z33� <br /> N�iE OF OWNER: p�1,h a✓��'N e- PHO�]E: ome <br /> (work) <br /> MAII,ING ADDRESS:`'�,r'J �c,�v�o�a �� ��'<<� CITY: (�k-��-�.� ZIP: <br /> 7�3 --`17y --�� �'y <br /> GcL� <br /> CO\�'RACTOR: �a,�.t� �v�,�at;� �-v , PHONE: Cv I Z- 3 �Z -Z d �� <br /> COr�TACTPERSON:�o��n �u �.,r 1vIOBILE/PAGER: <br /> NLAII.ING ADDRESS: ��z 3 S,l�ke S�Y�� ��-CITY: .,.�1.�7�-�--y--�IP: �5.3:��' <br /> ST�T'E LICENSE: # Zd 32 G ZSZ. <br /> ARCHTITECT/ENGINEER: `�'��-"`"�—� PHO�TE: <br /> M�II,ING ADDRESS: CITY: ZIP: <br /> �,r���; REGISTRATION# <br /> TYPE OF WORK: Ne�v Addition Accessory Structure <br /> Move Remodel/Alte�ation�G_ Land Alteration <br /> �e wt c;�(c� <br /> PROPOSED WORK(describe in detai�: rM°� � � Z - ��'� '^'�� �" �"� � , <br /> :-t-t=-�..e..1 ��; �` ti1��„�;�� a,n,� l e.W S �.S <br /> STORIES: ` SQ. FEET OF EACH FLOOR: Z-I� <br /> NO. OF BEDROOviS: � � GARAGE STALLS: ATT. D�T. <br /> ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ � 1 ���� � <br /> I hereby apply for a buildinJ 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 /> pennit; and that the work wi�I be in�c,prd�,fic� with the approved plan. <br /> , � <br /> ,�� `��, � �- ���� 3 <br /> APPLTCANT'S SIGNATITRE: � -�-i �__.� DATE: <br /> ,. <br /> NOTE! Parade of Homes events require separate permit approval by Police Department anrl <br /> City Council 60 days prior to the event. Non permitted events will not be allowe.`d. <br /> 5 <br />