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M <br /> � <br /> Tota? Fee: $ '�+" Z � �� 3 Date Received: �'� �,(V 7Y <br /> ' Entered By: Z� Permit#: 1;{��%�{5 <br /> � �Lf1'�y`}Cy �l ' � �� / � � <br /> CITY OF ORONO - BUILDING PERNIIT A.PPLICATION <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) OWNE�R CONTRACTOR <br /> JOB SITE ADDRESS: ��S-1��-- �--�v�v�c�,�-4-v� f y,J �-- --- ZIP: `-�5 J`� I <br /> NAI�SE OF OWNER `1'1�-u--1L � �,� L_�{�- PHONE: (home�s�-�7/--�%7�5� <br /> . (work) �.i�—a�S�--�f*c3/ <br /> MAILLIIG ADDRESS: ��7�- I-��►vtcs-�� R�1�— CITY: L�r���� ZIP:�� <br /> CO\�'RACTOR: � �� PHOI�7E:_ <br /> COr�'TACT PERSON: 1�IOBILE/PAGER: <br /> 1VL4II,I�i tG ADDRESS: CITY: ZIP: <br /> ST�T'E LICENSE: # <br /> ARCHITECT/ENGINEER: ,� �-�'"� PFiO�TE: <br /> M_4II..ING ADDRESS: CITY: ZIP: <br /> l�.e,.�1iE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remo�lel/Alteration�_ Land Alteration <br /> ��-12 <br /> PROPOSED WORK(describe in detain: _��(.� �.� �� L �—��- � <br /> _� '��G+CIL �V1�,�,.,C C�\� �j'�Y��� C/�� <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: �� 11 1�:�/L <br /> NO. OF BEDROOMS: �( � GARAGE STALLS: ATT. DET. -�-�. <br /> ESTLI-IATED CONSTRUCTION VALUATION (exclud.ing land): $ `�C�(,,�,?� _ <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 without a <br /> permit; and that the work wi�I be in accordance with the approved plan. <br /> � ,�..- <br /> APPLICANT'S SIGNATURE. DATE: � <br /> � ,. <br /> NOTE! Parade of Homes e�nts require separate pernzit approval by Police De�artment antl <br /> City Council 60 days prior to the event. Non permitted events will not be allowe'd. <br /> 5 ' <br />