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�1� �j,..�� v r�„ �/�o•� � �a.� / 2/s s•�ja.� <br /> l /�r— <br /> G'� %��� _ <br /> T�tal Fee: $ � , • Date Received: /d� aa�O� <br />, Entered By: Permit#: �OS 3/�3 <br /> �✓�•� �/�`�`�oST � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will�e started. <br /> (please print all i�aformation) <br /> ---------------------------------------------------------------------------- -- ------------------------------- <br /> , <br /> THE APPLICANT IS: (circle one) OWNER O C NTRACTOR <br /> oZb55 <br /> JOB SITE ADDRESS: � Z�P: ��5 9'/ <br /> ; <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a s�ecial event permit is Yequired with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �E�fit� �L1,�4� PHONE: (home) �.l�2 �sd'� '�l Z ? <br /> (work) <br /> MAILING ADDRESS: � �C��r�C..CITY: � �"lrnr- ZIP: S'S""39 t <br /> CONTRACTOR: `�W" �,p . •,��- PHONE: Y 7I�'0'^3 Z <br /> CONTACT PERSON: ,�.: MOBILE/PAGER: �12 -- 2S'+D 7e�o"'r �,y <br /> MAILING ADDRESS: �'f' �d .-t '� CITY: ,-� ZIP: ��c f <br /> STATE LICENSE: # /�-�Q � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ' ZIP: <br /> NAME: REGISTRATION#; <br /> TYPE OF WORK: New Accessory Structure� <br /> Addition Move ; <br /> Remodel/Alteration -� Land Alteration � <br /> PROPOSED WORK(describe in detai�: ` .�s 1'�'S GC��,� <br /> : ; . <br /> i <br /> � STORiES: �r SQ. FEET OF EACH FLOOR: �- � - <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMA'TED CONSTRUCTION VALUATION (excluding land): �$y$�;dt9e "' <br /> I hereby apply for a building permit and I acknowledge that the informarion above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a pernut;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATEi �Z a� e <br />