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G� �-/�/a� <br /> Total Fee: $ �3D,2 3 Date Received: Z-19-D� <br /> Entered By: �� -' _ Permit #: �-� 72�2 <br /> �, <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prinf all information) <br /> THE APPLICANT IS: (circ%one) OVVNER OR CONTRACTOR <br /> ,, <br /> JOB SITE ADDRESS: :; j t�`� �j.�-,�,��yt��...:• �., (—> ZIP: _5 �_� _�>S � <br /> NAME OF OWNER: =.L��.i �=>�-i� ln�.�s�>� PHONE: (home) �I:�=? - ��ti-��? 1 <br /> (work) <br /> MAILING ADDRESS: �'���; �1 R +�nE�i->> ��� �� CITY: Lc,r.,;��_:,�.� ZIP: ���� �, <br /> CONTRACTOR: �'lrr�� �-.� � PHONE: �>> -��� - a y��a_ <br /> CONTACT PERSON: �F�� r1 �-_aa= � MOBILE/PAGER: �;��- �� ; - ti-, �,� <br /> MAILING ADDRESS: �a-��a i-},!hi .,�:�i;_,�, ,_.... CITY: (�; .�.,�;- ,--,.�r .,ZIP: �ti�► <br /> STATE LICENSE: # =���`� <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New �ddition Accessory Structure <br /> ----------- <br /> Move RemodeVAlteration_� Land Alteration <br /> PROPOSED WORK (descrrbe in detai�: ���:f r,+�-�,E-,„„ �e r,.,r, �,�� ;,_ <br /> STORIES: ;. SQ. FEET OF EACH FLOOR: <br /> N0. OF BEDROOMS: �_ GARr1GE STALLS: ATT. DET. � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 r�, c�>c�� <br /> I hereby apply for a building permit and I acl:nowledge that the information above is complete and <br /> accurate; that the work will be in conformance ���ith the ordinances and codes of the City and with the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work�vill be in accordance with the approved plan. <br /> �1 <br /> APPLICANT'S SIGNATURE: � -�,,� �--�� DATE: �� � `� /� `I <br /> NOTE.� Parade of Homes events require separate permit approval byPolrce Departmenf and City <br /> Counci/60 days prior to the event. No�permilted events will nof be allocied. <br />