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�� �,, L� � % <br /> � Tota1 Fee: $ `�'- � � � � Date Received: �-�(p- �� � <br /> , Entered By: ;','_J7 Permit #: ,l� � ��(��f� <br /> , ;�-,�7 _y / -; ,' ,`; =� � <br /> L' � � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------ ---------------------------------------------------- <br /> � <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 1`� �� ��.-ri{-���_ I'n�v-�� ZIP: <br /> NAME OF OWNER: ,�iurkS'�,%C �v�1C���fS ; .��, PHONE: (home) ' <br /> (work) �=,1-��t�� �i�-�� <br /> MAILING ADDRESS: }�I t o u'�•�•� P-d�����CITY• �'a, ���t _ZIP: �i�-/ <br /> .� <br /> CONTRACTOR: � �t�:5 � '�-�- Co n . ��� ��C- PHONE: ��1`.`}7 c�- `���,� <br /> CONTACT PERSON: ���#?cS���� �� MOBILE/PAGER: ,�-�,��_ <br /> MAILING ADDRESS: �-��� f.�,':.�,1�%� /�-'-����tlU CITY: �'�.��•-� ZIP: ��i <br /> STATE LICENSE: # �=G=�,���y � <br /> � <br /> ARCHITECT/ENGINEER:����� ��i� ����'y 1 PHONE: ���- �'1�5 - `� S`1�S <br /> MAILING ADDRESS: ';��sZF- �r����a+,�,� .--Ns2__ �l�� ,�TY: jkG:��,��,. ZIP: -�� -. <br /> NAME: (:-�.�,.� F�r�,�-� �_.,� REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: ��� v e�a �=��� hk�t �«��S�f �K� <br /> �%C` `��G n�t ��a l� �eE, A L a:�S y <br /> STORIES: � SQ.FEET OF EACH FLOOR; !' '� � J���E� '�1��� `��?5�- <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. •-- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����Cca�; <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 approved plan. <br /> i <br /> APPLICANT'S SIGNATURE: �c��c � C�'�- DATE: l��3!-��� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />