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, � <br /> � � C C <br /> , � �� .� <br /> <; � ��j . , <br /> �Total Fee: $ — � Date Received: '' ` <br /> Entered By: "��'� ( ��` Permit#: O �/0�,� <br /> I. ( <br /> (_._.. J�.. <br /> , I�, I� � j i l;_,�( t_ _ <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. � <br /> , <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3�ys �iUi�s�j L�.�� ZIP: _�� �3 � <br /> NAN� OF OWNER: ����s� /V�61J. 7'�w�1� s PHONE: (home) <br /> �Wo�k)_�63- ��-��a r <br /> MAILING ADDRESS: Q�( .� yj,9,3� CITY: � � ZIP: ��SYY 7 <br /> CONTRACTOR: �/��E3* �,uJ, '�,cux�rasrf � PHONE: �6 3'.S��'3 0?7�`L <br /> CONTACT PERSON: �'�'w y MOBILE/PAGER: ��1. —,3a8�— 8-0�s�3� <br /> MAILING ADDRESS:�d ,�„� y�s y3 CITY: �L�.,.�l1 ZIP: �'�s�� <br /> STATE LICENSE: # ,�� �p���s3 <br /> ARCHITECT/ENGINEER: �/�syl� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: iV�cc� /'�Se c�g��� �xss�,t��«-„/ <br /> STORIES: �Z SQ. FEET OF EACH FLOOR: ��� �� <br /> NO. OF BEDROOMS: �3 GARAGE STALLS: ATT. ;� DET. <br /> ESTTi�TATED CONSTRUCTION VALUATION (excluding land): $ 1�0,�lU,"� <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 /> APPLICANT'S SIGNATURE: / � �_ DATE: `�����p2� <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 />