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, / f� <br /> ( ' <br /> Total Fee: $ a y�g' �b ` ' � Date Received: /D /D - D 3 <br /> ;,:, <br /> Entered By: �t _' r� f�D�Bf�S <br /> --T <br /> �i� �/ Permit#: <br /> CITY OF ORONO - BUILDING PERIVIIT 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) OWNER 01�L NTRAC� <br /> JOB SIT'E ADDRESS: ���'S �e.l���{�r�-W�� ZIP: '�S'35(� <br /> � <br /> NA.�iE OF OWNER: �f: �P� �C�j�L PHONE: (hvm�� Cl'SL —�`�'1� - i V� <br /> . (work) G � (c t 1 -Ss�a� - 4(�Z(.. <br /> MAILI�i 1G ADDRESS: CITY: ZIP: <br /> � PHONE: � 5� - �zZ- LLti� <br /> CO\�'RACTOR: C r-�'�� ���s . <br /> COti�T'ACT PERSON: '�u r,,.�u NIOBILE/PAGER: �- �►3- 2.s Z- (,,o G��i <br /> M..AII,ING ADDRESS: � t l 0 0 [��'en R�a w' CITY: (Vt,�.n efi;�i�-ti ZIP: 55 3 <br /> ST�iTE LICENSE: # <br /> ARCHITEC� /ENGIlVEER: ��-rnt.S ���2;r�ah PHO�IE: <br /> MAIL�F�iDDRESS: +S�t 3� i-�,ll iz:�.. ?r_ CITY: (�'���_ZIP: 553� <br /> NA_1�IE: ��-vuL S L.�u n,t� ,I�n REGISTRATION# SU 7�' <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �e n�,;t" ���L�, ' S�e�n Lr�r� �� c� ►- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDR00�1S: GARAGE STALLS: ATT. DET. <br /> ESTLI�LATED CONSTRUCTION VALUATION (excluding land): $ t�',��� <br /> I hereby apply for a buildin� 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 Buildin� Code; that I understand this is not a permit and work is not to start withbut a <br /> permit; and that the work wil?be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: -- " � DATE: l � — �� - �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />