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Total Fee: $ � .�/,3- �/� Date Received: ��- ��- � � <br /> Entered By: �Y� Permit#: �J.39$ <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 o�) OWNER OR CONTRACTOR <br /> At�tz�Z`vJ � � ZIP: `� Cc <br /> JOB SITE ADDRESS: ��L�� � �^� � <br /> � <br /> �C,i�_�'�`�'� . <br /> NAME OF OWNER: � �-� PHONE: (home) ����� �1 \\� <br /> l��Z='z`1 ��Z�A� <br /> � (work) � � - - G '�� <br /> MAILI'.\G ADDRESS: ���-�, .� 0 r'a-�M�_�1 W�ITY•�-�o hl� .I�.Krrt ZIP:_5���, <br /> CONTRACTOR: �� � PHONE: �` �a - ,�-I � 'tJ`"� � � <br /> CONTACT PERSON: � � � � �IOBILE/PAGER: `1 \ v � \\� � <br /> MAILING ADDRESS: � 'r, � ,��,j,�c� CITY: �j`t."-��..,�� ZIP: �a,�i, o�' <br /> STATE LICENSE: # ?�y 6� � � <br /> ARCHITECT/ENGINEER� ._ � ��PHONE: (�t�"1...-i+�, Z r�# ��"�i.�___. <br /> MAILING DRESS:��`�� -� �S� �r- �' ITY: �%�SS c��, ZIP: _,� <br /> rJAME; 2 p .n REGISTRATION# <br /> TYPE OF WORK: New Addition�° Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � ,'� ;o � �` �� ��� ••��� �� ����`'�� <br /> , <br /> , � � � <br /> �\�.AA� � �C lti�\ vJ L� � � \wJ= �1'J �.n� �-. <br /> STORIES: � SQ. FEET OF EACH FLOOR: � � S c"? S • r • <br /> NO. OF BEDROOMS: _�___ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ , ��-�' �'L�' �% <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> �.ccurat�: that ihe �vor�ti� '�1 �e in conform�r::� with tr orc�ina�ces �nd codes of the �ity and with <br /> - `:� �u i.�: -- � � � .s ..... .___. -,- _.'._ � ..�-� �� s.a:-' �v��hot�� a <br /> �. _ .._ _., - � �,. . .. . . �..__�_ ..,__, _ ._ - -- _ <br /> pernut; and that the work will be in accordance with t approved plan. <br /> APPLICANT'S SIGNATURE: � DATE; �`�' �--� -�r� <br /> NOTE! Parade 9 f Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />