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S � ' <br /> f � <br /> /i <br /> Total Fee: $ � � _" Date Received: �%_%<� /C / <br /> -T <br /> Entered By: ' �� � Permit#: �` G > (�(,- ��. <br /> CITY OF ORONO - BUII..DING 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 ONTRACTOR <br /> JOB SITE ADDRESS: j�5 �'`Z 1=�R�p�4 L c-r ZIP: 5 S 3 q I <br /> NA.N1E OF OWNER: N H riL�`� t�Jl'+�t L�:�s o�t-- PH0�1E: (home) �i.5"'�' y-�3-313`t <br /> (work) -- <br /> 1�jAILP�1G ADDRESS: 5 8,5 N . j'=L:Rht �L-� CITI': OIZd�r,i a ZIP: �'�3 �t l <br /> CO�1'TRACTOR: ' �C. V. 1-� 1,�,� t�c,;s C o �•�.5 j R . PHO�TE: ?L 3—'--�.,�-�3 0�. <br /> CONT'ACT PERSON:�"; i.w 1-}t.t,�o Nt?S �IOBILE/PAGER: 95�, qo ti-�.� 5St <br /> MAII�ING A.DDRF.SS: �.oa�7 A t3x L4 w� �-�.�. CITY: c.o fZ c owr�a.�, ZIP: 5 s'3 y 6 <br /> STATE LICENSE: # � °l i 9 <br /> ARCHITECT/ENGI�IEER: PHO��: <br /> MAIL�TG ADDRESS: CITY: ZIP: <br /> rJ�v�: REGISTRATION# � <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration x Land Alteration <br /> PROPOSED WORK (describe in detai�: tZu t�,o v� t,=�c�ST s'►-t�c. � )10 T s��G' PAk� °F <br /> l�G L�S L� `�' � �' F3 u'� L T� /�l t:� W a� �'T . !=A R'C Hu�R 0 w� `1't��'f-L i�lb S t'���K <br /> C� �►`t D G-' 7155�'�'uC• bL�G�� PA�Se � 22�'�u.�7�LD <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOIiS: GARAGE STALLS: ATT�. � DET. � - - <br /> ESTI�i �IA.TED CO\TSTRUCTION VALUATIO\ (excluding land): S ��'� ��d <br /> I hereby apply for a buildin�perm.it and I acknowled�e that the information above is complete and <br /> accurate; that the �vork will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a perm.it and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> r----.J ; �;, <br /> APPLICANT'S SIGNATURE: � k�� DATE: 3 I� 9 I°�_ <br /> 1�'OTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days przor to the event. Non permitted events will not be allowed. <br />