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i,-� � `j <br /> I� � <br /> Total Fee: $ 7 5�. � Date Received: �-2 1,Z C��� <br /> Entered By: � 7�. Permit#: �����j/�-/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be subnnitted in full before plan review will be started. <br /> (please prilzt all i�ifor�nation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOl� <br /> JOB SITE ADDRESS: c � � � ZIP: `�j�j_��,`� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event pei�mit is r•equirecl wit7� Police Depas-tnzerzt and City <br /> Couracil app��oval 60 days prioY to the event. Norz permittec�eveizts will not � <br /> be allowed. <br /> NAME OF OWNER: �Q�iS����v �t+�l�1'� PHONE: (home)q5o`�` 47� -?3�7 <br /> �\ (�vork) <br /> MAILING ADDRESS: ��q� ��o,��,,�,,�o� \�-1 CITY: m���,1� ZIP: `�� <br /> , <br /> CONTRACTOR ,/� T� Uc O� PHONE: �S �93� �3 �O <br /> CONTACT PERSON: •, MOBILE/PAGER: / 7 - `f 8 <br /> MAILING ADDRESS: 3 .�� CITY: /�jf�',,` ZIP: � 3 p� <br /> STATE LICENSE: # 3;��_� � <br /> �:1� e��o�v,c-�� , S � `� l� � � "�c�@ �. <br /> �i, � vS , 1 l r SPHON : 6 C� - 3 3 �"3 �� � <br /> MAILING ADDRESS: �7 j /�)�/��f �, 5,;, �5) CITY: _s ZIP: ," �S <br /> NAME: SU � ���,<,s f REGISTRA ION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration � Land Alteration <br /> PROPOSED WORK describe in detai � <br /> � �� �J� �'���5 ���_ ��/���=� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��; p�; <br /> � <br /> I hereby apply for a building permit and I acknowledge that the i,nformation above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start with ut a permit; and that the work will be in accordance with <br /> the approved plan. <br /> __ _ :.— __ <br /> --_._.. _ <br /> <.,.� ...__ . <br /> APPLICANT'S SIGNAT�UI��� ��� � — �--� DATE: � �, ''�r(�� <br /> � ! <br />