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I ' I <br /> , 1 <br /> Total Fee: $ v� 7 3. �,� Date Received: � / C _ <br /> Entered By: �a�L __ Permit#: ` <br /> � I <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION , <br /> All information must be submitted in full before plan revie�v «-ill be started. . <br /> (please print all information) : <br /> _M �' . � ���------�---- <br /> THE APPLICAI�'T IS: � (circle one) OSVNER O CONTRACTOR - <br /> JOB SITE A.DDRESS: I C: S (-{� r� -E- ►.� - :�, �/� ZIP: S S�`� 1 <br /> � � PHOivE: (home) �r_� Z--�� �� �� �� <br /> r�ra�� oF o���x: ��a� �� ���� � 1 ? <br /> � - (work) � <br /> Nzaa,�rG�Dr.Ess: � �� s -+-I�� r �-d���2crrY: �.�-��� c z�:�.� <br /> CO�ACTOR: ��c� C�C.�= c- Z.�, -� PHONE: � �l � �-E �3` ��r 7 7 <br /> CON7'ACT PERSON: ��r � {-(�.��1,�-,� MOBILE/PAGER: �______ <br /> IVIAILI�'G ADDRESS• �--Q�4 � �<<s ���CITY:(,�x��� s� .�-� ZIP: �`� l� <br /> STATE LICE�'SE: #. ' c c,c� � _ <br /> ARCHIT'ECT�E�'GT�i TEER: P330NE: - <br /> �Itii'G ADDRESS: CITI': ZIP: <br /> tiAME: REGISTRATION# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED�YORK(describe in detai�: ��ti C��-� `� ���� ��'�" �- ���'c�`'ti' S�`���� <br /> STORIES: SQ.F'EET OF EACl3 FLOOR: <br /> NO. OF BEDROOiVIS: GARAGE STALLS: ATT. DET. � <br /> � � �. <br /> EST .Il-i IA,TED CONSTRUCTION VALUATION (excluding land): $ 1(� crT� . <br /> I hereby apply for a buildina permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance wich the ordinances and codes of the City and with <br /> the State Build�n� Code; that I understand this is not a pennit and work is not to start without a <br /> permit; and that the work will be ' �ac ce with the approved plan. <br /> � �'� C4 �c.��--� DAZ E: � ` � : � — <br /> APTLICA��'T S SIGNATURE: i - _ -�-�-- <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> � City Council 60 days prior to tke event. Non permitted events wilt not be allowed. � <br />