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i�tal Fee: $ �� �` �� >> Date Received: �'2..3-�3 <br /> Entered By: �'�_p Permit#: �O�v�S� <br /> 1�i'l�-�� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> AII information must be submitted in full before plan review will be started. <br /> (please print all in ormation) <br /> ----------------------------------------------------- --=-- ---------------------------------------- <br /> ---� -------- <br /> THE APPLICANT IS: (circle on OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �C c.,^ }--eo� ,�c�c��� ���'� � r\ ZIP: S S 3 9 I <br /> NAI�� OF OWNER: � „����� �a��.�v'- PHONE: (home) Y Si - 5`�7�-Sz6�. <br /> . (work) <br /> MAILING ADDRESS: 1�� ►_-���da�� C'�-C��� CITY: �T�<���� ZIP: s S�Y ( <br /> CO\TRACTOR: ���e�- )� �r.�c,5 PHONE: q s z �'7� �_a�o <br /> CO`�TACT PERSON: )�:� (_��r- MOBILE/PAGER: i� �� 3 cs e 7�7 5 <br /> N1.4ILING ADDRESS: ela r � �i�t 5 rt _ CITY: ��,.� z�tR ZIP: �s�y I <br /> ST�TE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHONE: <br /> MAII.,TiVG ADDRESS: CITY: ZIP: <br /> NA.�IE: REGISTRATION# <br /> TYPE OF WORK: N�w Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ��� ( c�r— �1���-' � � <br /> '�xi S f' r �L �- ��v- � v�'��- � <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> I\TO. OF BEDROO�IS: _3 GARAGE STALLS: ATT. _� DET. <br /> � <br /> ESTLIIATED CONSTRUCTION VALUATION (excluding land): $ �7,��o � <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 BuildinJ Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wifl be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � DATE: (� .�3 03 <br /> L__ <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />