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`/f <br /> '�otal Fee: $ ' �'�� ��.`1 � Date Received: C% " �y"�, �- <br /> Entered By: ��v� Permit#: ;>z `-�-:;�/; <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 CONTRACTO <br /> � <br /> .�, - , <br /> JOB SITE ADDRESS: �1 `� C= � a v�d�� ������� ZIP; �S 3 z 3 <br /> NAME OF OWNER• C� ��Y� � ����, �e-��--�, PHONE: (home) 9�Z- � 3 2� �"�`�� <br /> � (work) ��3- ���s-�s�s <br /> MAILING ADDRESS: r �I 3 -K�j le v La I,� �r_ CITY: 5� -��l, �1►�t ZIP: 5 5 3UW <br /> ��,� <br /> ��,, <br /> CO'�1'TRA.CTOR: C 1� a�r�5 ���� �,�.n. �Y,� PHONE: ��3- 3�`- I�o 0 <br /> CONTACT PERSON: ;��, L����S�� c�tanc�£ �+N�` B_ E/PAGER:G�iz-t�v� - �i%3� <br /> MAILINGADDRESS: .��s Ir����k�t- 5t7��t 5��'�ITY: f`r�r,�-,.���r��[�1 ZIP: Ss�r��5� <br /> STATE LICEN�E: # �v� 3 5�-�� <br /> ��L <br /> ARCHITECT/ENGINEER; �'�� � UcY,�lo �� Ce mP�NY PHONE: �i 2-3 33�f�2 z <br /> MAILING ADDRESS: ��4 I N�n r.e��� ,'4ve. CITY: 1'�p l S� /-�`in)- ZIP: 7 5 9-v 3 <br /> NAME: �E�f c v /71��E24���(c� ��r��ck� S��f�;✓ REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ���-�S� ����`'� �'� ��`'� `''�'�� �""' ��— <br /> I��,,,� <br /> L�� `- �3<�i� �`��t - ��'i�� <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. .3 DET. <br /> ESTIMAT`ED CONSTRUCTION VALUATION (excluding land): $ ���;��� <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 Ciry 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 /> , � <br /> APPLICANT'S SIGNATUItE: ' � DATE: �l�"��O � <br /> NOTE! Parade o 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 />