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'� `� � l�'a�>.�:v � ��3 <br /> Total Fee: $ j�-� �� Date Received:, �-��>,.k' <br /> Entered By: �, Permit#: C(�.�� <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 /> THE APPLICANT IS: (circle one) W(��.F.R-bR CONTRACTOR <br /> JOB SITE ADDRESS: 3��� /v y /�Lc,c;� i O2G�G ZIP: SS3�;/ <br /> NAME OF OWNER: G-�a rz y /�c� PHONE: (home) y�I-� 2�� <br /> (work) 4 7 r-5 Z�s� <br /> MAILING ADDRESS: 3�l fc(� /u y I�(.a..0 CITY: t.uc,y Zr.c�cr ZIP: S s�`�! <br /> CONTRACTOR: Te �3Q �1.ek�<<�,•��c� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �,/,� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> �JAME; REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration �_ Land Alteration <br /> PROPOSED WORK(describe in detai : �.c v e r��� ��f� � ��c�r w�.c.v #���),. <br /> rtx:.+vc�ci�-eri» u.t�p � �:.�.tn '7 z �/ "� �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 'y2 d� <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 he approved plan. <br /> APPLICANT'S SIGNATURE: �1 �^'G DATE: <br /> NOTE! Parade of Homes events r quire separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />