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Total Fee: $ Date Received: �-�'�,?> <br /> Entered By: ('� . Permit#: �Do'��D3 <br /> CITY OF ORONO - BUILDING PERNIIT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: L`z�`X� �.+�T'rL� v��� �%�;ti'y ZIP: SS�Z�j <br /> � <br /> NAME OF OWNER: �r�,,� c_�p�K:;�, PHONE: (home) �`t7j -1 l Z;-Z <br /> (work) <br /> MAILING ADDRESS: 2�� ��r-r�r�, �3�c.1-�`.� CITY: t;`(�jJ,� ZIP: ��S'3 a <br /> ��� <br /> CONTRACTOR: �� �e�r�(�� i�� PHONE: `�1.3`�-�-��5�-}� <br /> CONTACTPERSON: C' "F�t OB PAGER: "�',�`i- I�1�U <br /> MAILING ADDRESS: ��(� T�7G,c ��j�'�' CITY: C.}�nr( ZI .P='�� �S 31� <br /> STATE LICENSE: # t Zi�.� <br /> -. �74'3z`i l <br /> ARCHITECT/ENGINEER: �S� , PHONE . � <br /> � : — <br /> MAILING ADDRESS: Zt �,.-hr��- 5��"i' CITY. '� ZIP. � �331 <br /> NAME: EZ��K. �.� tiss�.�v��� REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detail�Gti,� �.� �s rr,��; E,�a.c;�-�c, � sT� <br /> L �C;N�l �:1�7`^J�-� O� Lf1V:��y �`� �L'"�;S2.�C'�.� y2�t�Y�. T �1-�- Lc���r�i(O/'� "t7� aFL t'70f�� <br /> C__� . - <br /> u. �i�\��1 �.n ts�N c� v�,<��'> , <br /> STORIES: - SQ. FEET OF EACH FLOOR: `}�1 �+ �g i � �(c'Z <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �ESTL�IATED CONSTRUCTION VALUATION (excluding land): � (�5��'�C'. • <br /> �— <br /> I hereby apply for a building 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 Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE:. � , t; � �i 'k.� DATE: J% Zf�z� <br /> NOTE! Parade of Homes events requi separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />