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Date Received: � J / �'� <br /> Total Fee: $ 7�0 �7� / / <br /> Entered By: T,/� . Permit#: ,{�('�a(� <br /> CIfiY OF ORONO - BITII.,DPtG PERi�IIT 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) OWNER O CONTRACTOR � <br /> JOB SITE ADDRESS: �y��� ���C, ��� � �� ZIP: �.��� �,2_ <br /> �j� � �� � ��� <br /> NAl�IE OF OWNER: ,,�o ;�-�� ?��� �f�2 Y 7"f�� PHO�IE: (home) . <br /> - (work) <br /> � <br /> �IAII.Iri'G ADDRESS: �.�'J.7 �� �t' CI1'Y: '�i��J�U ZIP• ,`� --���(� <br /> .r � � <br /> C0�1TRA.CTOR: �c� �,�P � ," � PHO�tE: � � �� -���� `� l <br /> CON'TACT PERSON: — �JJ-�-�- iOB�E/PAGER:j� /;�- ����U�- ��l Co • <br /> 1��L�LVG ADDRESS: �' l��� � " .� . CTTY: , . ��������' . <br /> STATE LICENSE: #��-��� � <br /> �- <br /> ARCHITECT/ENGINEER: ��' I> >I , . 4 �PHO�'E t (- _P�/ �����lP -l����' <br /> 1�L4ILI�i TG ADDRESS: _`� ��"l �fu)��� � � CITY• ����,'1 J��� �I.SZIP: ��%l..��_ <br /> N�y�: REGISTRATIO�'# <br /> TYPE OF `VORK: New Addition� Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: L - � � r - � � ~ <br /> , � ., <br /> ' "t ..I ' � , L ' 6' �`I�.. <br /> � ~ ,� ��� U ' %'�✓r� D rl r �" ��� <�� � /� i J�..�..P <br /> /�1 q��'V�� �°l�j � !' G��J /11- ' l�(_ i � �i` l ��- � � �N <br /> �T'ORIES: .� SQ.FEET OF EACH FLOOR: • h� �/GZ�� /L�7 � � <br /> NO. OF BEDROOI�IS: _� GARAGE STALLS: ATT. DET. <br /> �� ��l Uv t'f �?t�l� �!-l�'i i Pl�� ��� i �f�G'`�� l-'-c°�l.l f'7`-' . <br /> ESTLI�IATED CONSTRUCTION VALUA�ON (excludi.ng lanc�: $ /J���f��-��J- ���� <br /> I hereby apply for a buildin�permit and I acknowled�e that the information above is complete and <br /> accurate; �hat the work will be in conformance with the ordinances a.nd codes of the City and with <br /> � the State BuildinJ Code; tha[I understand this is not a permit and work is not to start without a <br /> pemzit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,ly /��r�y /.r'�.rL-�.� DATE: � /�'�� <br /> 1�'pTE! Parade of Homes events require separate permit approval by Poliee Departme <br /> City Counei160 days prior to the event. Non permiited events will not be allowed. <br /> / <br />