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R <br /> . ' �� � `� �� °�b�� <br /> �� Cc3� l <br /> � Total Fee: $ r' 1 1 �'�I ��� Date Received: � <br /> Entered By: ,� '� � � �� ;. Permit #: � ������ <br /> � �� � _ <br /> CITY OF ORONO -�LDING PERNIIT 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) �WNER C)R CONTRACTOR <br /> ' ' , - ' , � ( <br /> JOB SITE ADDRESS: _5 %�..�� J�tC.(;U`� ��� c i � �`�;� ZIP: _�� S `��, <br /> �% i'�L2<` <br /> % r,' 4 i �1 � �=,3 _�3'>_��,z��{ <br /> ����c� ���� �(����� � PHONE: (home) �l5�-�7���_�l��� <br /> NAME OF OWNER: � <br /> ; <br /> n �, � (work) �-5 1 - 3�:-�_ 7 � �; �, <br /> MAILING ADDRESS: �-� I .;"�' : � � �. i-�� �': l�� �,C�'I'Y: �L v�c: L c�.�e- ZIP: �� `.�>>� <br /> � <br /> :� <br /> � <br /> � <br /> CONTRACTOR: � ��t' I �' ? PHONE: SCt�vc�� �La GL��� <br /> CONTACT PERSON: �;.�,���-�- MOBILE/PAGER: 7!� 3�-�3 f-4_7 ti�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ti�'��t <br /> ! " � �, � . � � �;_ -� <. C' — <br /> ARCHITECT/ENGINEER: 1 u�i����n�� ' � -I �,�s�r111 PHONE: 7�� '��-�l � v i r� <br /> MAII,ING ADDRESS: ����.�o K��v��<�.,���,� La� CIr�TY: [��y���,,,r�. , • �_�- <br /> �, �G� Z�. ,-��y 7 <br /> NAME: l�e������i G�(G(;�r��:�. � REGISTRATION# /Il�l� <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> , � <br /> ' ' l 1 !C�r /-rc��I'CvY <br /> PROPOSED WORK(describe in detai�: l ���_ ��-t �f����(,, �t c�1:,�:. ti r;,t� .t, '' <br /> _ , v <br /> STORIES: -� SQ.FEET OF EACH F'LOOR: l ���' vyri���r I,iUI �=���, 3;?li /���t�S <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. ; DET. — ��Q���r`�� <br /> 1.t'c�4?/r l�Q G��1"l:,i,l•,1��-"(i IIS�Ilrf� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �`l J,OG`0 <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 /> � ���'� � � �� �. ' � � _ �,� <br /> APPLICANT S SIGNATURE: �-. r�i.��� - '�Y, �' �����"� DATE: J �-� � �� li.� <br /> `_i <br /> NOTE! Parade of Homes events require separate permit approval by Police Depariment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />