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/� � `. <br /> . .. � '\� _ <br /> Total Fee: $ q ,� Date Received: ,'v -/�7 ..2��� <br /> � <br /> Entered By: ...c_ �! � ' r Permit#: ,�jG 5�31c� <br /> �= �},y�; ; ,• <br /> , ' CITY OF ORONO - B�LD�G PE T 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 CONTRACTOR <br /> JOB SITE ADDRESS: �,L,,� Ltcs/c�,,, Vs�r,.-y ,��,� - ZIP: ,5� �s (;p <br /> NAME OF OWNER: �{T�w�> ��-�.4�,�.�, PHONE: (home)fc,S��'�1 f���`� 7 <br /> (work) �%� ��' �2�3, <br /> MAILING ADDRESS: `� C`-.�d1� v{,�„-., 4,.� CITY: cs�� ,�...,.. ZIP:_.s�� <br /> CONTRACTOR: �-�iz�'9" Lm-� � PHONE: �3 �� Z'rJ�f� <br /> CONTACT PERSON: (`y-ti �q-6r 1"' MOBILE/PAGER: ��lZ. -1�`'ri _�5 3 3� <br /> MAILING ADDRESS��-T_��.(� i v CITY: �-�1��.e..... ZIP: ��'7 <br /> STATE LICENSE: # 1 c�•a h <br /> ARCHITECT/ENGINEER: - PHONE: <br /> MAILING ADDRESS: -� CITY: ZIP: <br /> NAME: �---�"" REGISTRATION# - <br /> TYPE OF WORK: New Addition Accessory Structure �✓ <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � y x�o .��.�,� _�-�,-�- <br /> - G <br /> STORIES: � SQ. FEET OF EACH FLOOR: !�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $�, �vs �v <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 ac dance with the approved plan. <br /> � �� _ <br /> APPLICANT'S SIGNATURE:• �-���"''" DATE: ly 7 E> � <br /> � <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 />