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, , <br /> � Total Fee: $ Date Received: f� j ''L-� /�����_-- <br /> Entered By: Permit #: �-� 'j��; � <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 O ONTRACTOR <br /> JOB SITE ADDRESS: �$"' � ��,e,�d,�/�, /�d ZIP: �;j� � <br /> NAME OF OWNER: h-1,'�CC �J���Sc*c��diq PHONE: (home) C,l� -�7?0 -7737 <br /> (work) <br /> MAILING ADDRESS: ��•S � �,eic%�q.�� I�d CITY: ���('a" f1/D ZIP: t�3 <br /> CONTRACTOR: C".�A��y �i�dL7"l<�. C$t+K.,�s�.x i r •,.7 PHONE: �(�3 q 70� '�T 2 3 O <br /> CONTACTPERSON: �' qr.r/ MOBILE/PAGER: Cc�/ � f�3 -��7a �/SZS' <br /> MAILING ADDRESS: �7 S/7 �`,� �'�� S�� CITY: �/,r�,�a ZIP: ,S"S 3z� <br /> STATE LICENSE: # �J/_,�(`� <br /> ARCHITECT/ENGINEER: ��:. ( �Nt�,�'F�� PHONE: ��„s -�.�5�� -��c•r�'� <br /> MAILING ADDRESS: /5- �L; :j(;. {-%•r�4�= j✓t�j"�GCITY: y�,,�7,,�.pf-� ZIP: ��S:S���, <br /> NAME: REGIST�TION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: ���:�.��( 5 jc i�':�- �1��:i�oti �'y��<�d�/ <br /> , <br /> c �;�,_�5, �j�<���� ;a�a � ,� �,��.� 2 � � � ��w <br /> � n ��C��_ , f• <br /> STORIES:�_ SQ.FEET OF EACH FLOOR:!f���,�, `��, /(�cJ,;� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���j�A, �-� <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 Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: .�4 ':, ``� �,�� �` ` DATE: �`/��/ L, ��� <br /> - ,—� <br /> � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />