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� �� � � � �,� � '��. ��� <br /> Total Fee: $ `��Q� �3 Date Received: � �� - �- <br /> Entered By: �-�'✓L_ Permit#: � � � <br /> � _ <br /> ` CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> + (U` ,U� 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 CONTRACTO <br /> JOB SITE ADDRESS: ��p�� � ,�QuJe�/ �,,1 ZIP: v�Sc��o � <br /> NAME OF OWNER: �P�t� �`�r.ta /v�''l�s�'c�. PHONE: (home)l�� K�r ��'t•t, <br /> (work) <br /> MAILING ADDRESS: �F'irs� Ts•�.,� (�l�vu„_�•., CITY: �,m ZIP:.�fS`,� <br /> CONTRACTOR: �� C ., PHONE: �t�.,-��-'$'$�� <br /> CONTACT PERSON: �r Ct�iar��ccrt MOBILE/PAGER:(�,2.. S� $'S'�O <br /> MAILING ADDRESS:��/� ��� r�',�,.� CITY: ,��,•s� ZIP: � <br /> STATE LICENSE: #,,�aZ 7?po I <br /> ARCHITECT/ENGINEER: PHONE: <br /> M_�ILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration DZ Land Alteration <br /> PROPOSED WORK(describe in detai�: ,Qu,.T�� - 3Q �k/,o(. � ,<�%' C' %L� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. h U <br /> , . <br /> ESTIMATED 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 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 a roved plan. <br /> APPLICANT'S SIGNATURE: DATE: `�'•�1-�D�� <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 /> 5 <br />