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c�o� <br /> $ � <br /> Total Fee: $ � �Oq D• Z� Date Received: ,� " �' U� <br />�ntered By: /�jlj� Permit#: �"C?'7�76�2 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all inforniatioii) <br />----------------------------------------------------------------------------�- -- ----------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR NTRA TOR <br /> JOB SITE ADDRESS: `j'1 S f�d�Le�s �►��v,^ c� ZIP: <br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is requir-ed wit1� Police Department ancl City <br /> Cou�zcil approval 60 dc�ys prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �T(,i� � /Vd�''rna�.L_�5�/� PHONE: (home) <br /> ' (work) •3$ � <br /> MAILING ADDRESS: �,�'7s�p�� ��.y�� �c,! CITY: �Ya ne ZIP: 5 <br /> CONTRACTOR: L.�-!�lc.�.sc�u�-�t� PHONE: ��2'�7O•7y1�P <br /> CONTACT PERSON: a MOBILE/PAGER: qS2' Z37- �57� <br /> MAILING ADDRESS: GY, S�' �`1/Z> CITY:��C'.��r ZIP: z;5331 <br /> STATE LICENSE: # ��2?�� <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�:-�Ly/5� Q�i''c��� G�b vPJ qeWu�G�.ei �.rq <br /> �a.c� G,z.d 1 <br /> STORIES: SQ. T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_ ��ZK� <br /> I hereby apply for a building permit and I aclrnowledge that the information 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 pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATU DATE: g 3 O� <br />