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. � 6��/D� <br /> � <br /> Total Fee: $ 5�f0. 53 Date Received: ,�-���� <br /> Entered By: ��S Permit#: ��� 753 9 <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all infoYfnation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR N�'-�A�TOR _ <br /> �__._ �_ <br /> � � x� <br /> JOB SITE ADDRESS: �� �� � ����C �\\I��:'C'`� ZIP: '��+�j'/ <br /> Will this be a Par e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is reqatiired with Police Department and City <br /> ° � Council approval 60 days prior to tlae event. Non permitted events will i�ot <br /> be allowed. <br /> � ��� ,,l i� <br /> 7 �� i-� ` t ,- <br /> NAME OF OWNER: '��� �ri �- '�.�1��'v�a� `,_-y��','°�� PHONE: (home) �i �,� G�'c��/� <br /> (work) ��L-�,, •� ���i Z <br /> MAILING ADDRESS: �%�-v.-�- <A� ��_��y:� CITY: (��--P�r���`� ZIP: 5���/ <br /> CONTRACTOR: �fln�. ��S I��n��-ec� _ PHONE: ��/Z `� 3.�-/���3 <br /> CONTACT PERSON: ��g �r ���-,c,�,.e�� > MOBILE/PAGER: ���►r---�. <br /> MAILING ADDRESS: �ZS '' �4.�.� C1rl�� CITY: :��p�� Pfc<yr� ZIP: . J`` 35`'l <br /> STATE LICENSE: # '�j 7 �_�(„ <br /> ARCHITECT/ENGINEER: �(�/`1�i��_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition iVlove <br /> RemodeVAlteration � Land Alteration <br /> PROPOSED WORK(describe in detai : �,��-�� � ��' �� — �� <br /> �-i�� � � � <br /> t(/�-j'•J �3G 1�-L'�ti-� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��',�' ,C� <br /> I hereby apply far a building pemut a I aclrno edge that e i�formation above is complete and accurate; that the <br /> work will be in conformance with e ordin ces and co es f the City and with the State Building Code; that I <br /> understand this is not a pernut and work � ot to start wit t a pernut; and that the work will be in accordance with <br /> the approved plan. , <br /> 1 <br /> �PLICANT'S SIGNATURE: � __ DATE: �`i����c <br />