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G�o� <br /> � <br /> ' Total Fee: $ /,3�$ � Date Received• � �' Z-� � <br /> Entered By: � Permit#• �S•-j� �U, <br /> 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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �S �t��DA� C�2EE�1 ZIP: SS 3cl ( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � Yes � No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �1cNr•1 : 12E�..tE {-��4�hlE.-�'r PHONE: (home) �is2 •416• 1331 <br /> (work) - <br /> MAILING ADDRESS: °IS �2NOA� ���a.1 CITY: wAY24TA ZIP: 553q � <br /> CONTRACTOR: FSoYE� gu 1 LO�►.1 fv Lo tCP. PHONE: �iSZ• 4"i,s• Zoo1'7 <br /> CONTACT PERSON: Ci41ZL SM�'t'�.1 MOBILE/PAGER: <br /> MAILING ADDRESS: 'S43 S tou� �p (o I CITY: MTICA . ZIP: SS 34 S <br /> STATE LICENSE: # Zq 8 g EXPIRATION DATE: 3/p'7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition Move Home <br /> RemodeUAlteration X � <br /> PROPOSED WORK (describe in detai�: 2EM a 4 EZ„ E X�S7' ��1�o� F��.I 1SN� lo c.�.�� <br /> L C-1/EZ- � F 1 nl I S(-1 I 80 t o F V�1 F1 wJ�S�-�=0 �r�4 � A D� Eb6(�S L1D W. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ -15000— <br /> I hereby apply for a building permit and I acknowledge that the information above is compl�te and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: I DATE: 8 � (�-' O� <br />