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<br /> ` Total Fee: $ Date Received:
<br /> Entered By: Permit#:
<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 /> THE APPLICANT IS: (circle one) O`VNER OR ONTRACTO
<br /> JOB SITE ADDRESS: �� Fr,���l�:/�. /���:�;,1 N. ��n,�a� /7?N ZIP: .S�'3`�/
<br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home?
<br /> ❑ Yes �No If yes, a special event permit is reqt�ired with Police Department and City
<br /> Council approva160 c�ays prior to the event. Non permitted events will not
<br /> be allowed.
<br /> NAME OF OWNER: C��dy �r;,���v�==ti PHONE: (home) `��"Z y/�a�I -06��
<br /> (�,`e�k��/�)��r z) Tlv- �3�-�:�
<br /> MAILING ADDRESS: �S- -{�:�-N�l.�t� ��'. iv. CITY: v�c;,,� � ZIP: ;-�'� �/
<br /> CONTRACTOR: S��'el�' �'on»fi�u,cfi4�� .�.�.�v,u,� �;�. PHONE• (�lL>.S`Qd'—l�'G'�
<br /> CONTACT PERSON: _�'l+r>1 lT/e/!u/�.. MOBI /PAGER:•�G►z� S`�'� `"/���
<br /> MAILING ADDRESS:3yY� S���Je S�y-�Qf- CITY:�;��,p��k�: ZIP: .S�';�`jS
<br /> STATE LICENSE: # Z�'�/�/jE
<br /> ARCHITECT/ENGINEER: PHONE:
<br /> MAILING ADDRESS: CITY: ZIP:
<br /> NAME: REGISTRATION #
<br /> TYPE OF WORK: New Accessory Structure
<br /> Addition Move
<br /> RemodellAlteration_� Land Alteration
<br /> PROPOSED WORK(describe in detai�: ��ol��� �Q�,,. �,,,G,( /,,,,�,_,,. ��,,,,,,,s. i�,�L,�,�,ti, �,e,.,
<br /> �- � �;N �T ) y � 2�,s�,�v� �i�c�,I�c
<br /> C�✓L7lN•��I� T/�•r_tJD � C� �i,�1+./r-S Cr.�i l' b� �<��cc.r w+ a-<.N�:C Tb.:�L Z.�T�Y'�.w• J �.o.,
<br /> TYLt'�. �Y'fGK 7u Tlc,(c�SfO:X.�j�'c.w�C.�Y,
<br /> STORIES: y SQ. FEET OF EACH FLOOR: ,�',�p»x, �
<br /> NO. OF BEDROOMS: �f GARAGE STALLS: ATT. � DET.
<br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ /7��,-`=
<br /> I hereby apply for a building pernut and I aclrnowledge that the information above is complete 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 pernut; and that the work will be in accordance with
<br /> the approved plan.
<br /> APPLICANT'S SIGNATURE:l-� �-�-���. DATE: � / �`�
<br />
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