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To al Fee: $ .,1�`J -`� ��' Date Received: ��� y � <br /> Entered By: .�;�j�_ Permit#: �9 C�3��-�i�-� <br /> �Z rr'��.-� `- � 1" �",/ <br /> CITY OF ORONO - �UILDING 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 CONTRACTOR <br /> JOB SITE ADDRESS: 7 85 �e.,�n da�e �a acY ' l•�auza� ZIP� 5s 3qi <br /> Mn <br /> NAN� OF OWNER: � �' k PHONE: (home) 9 5 � -� �� 7� <br /> 7 g 5 e r�d.,�l c o (work) <br /> MAILIl�IG ADDRESS: CITY: a. ZIP:5539 I <br /> �� <br /> CONTRACTOR: � i• � r uI I - PHONE:_ �la • 3'7�4 =� 7� g <br /> CONTACT PERSON: fi� t�� 'MOBILE/PAGER: (a ia - (�g 5-b B�a- <br /> MAILING ADDRESS: �(, I -�i r � - v�. , CITY: � �,�, � ZIP: 5 5�a 8 <br /> STATE LICENSE: # a C- 3 �C�C( <br /> ARCHITECT NGINEER• /}�Q�so r� �� cL��4�� PHONE: C,��- g a�- ��7 a S <br /> MAILING�DRESS: 1� 1 4 l�J. � e .���b�CITY:/11,n n�e� o l� i s ZIP: �,y 4 08 <br /> NAME: es ��.}�D,� REGISTRATION# /Cc �O ( <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED ORK(describe in detain: ,{c�e n Y�rn o d t� l Se� �r au�J�,S <br /> L.�� <br /> ���c�►� r�.rnoCI.C.I 0.r�c�- <br /> STORIES: SQ. FEET OF�:�tC-;�]��: �07 Co S• �. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): $ t B g 000 <br /> I hereby apply for a building permit and I acknowledge that the inforination 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:�-�hcw �h�.�a�.-. DA'TE: J"� -� l <br /> NOTE! Parade of Homes events require separate perntit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />