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� <br /> � ' 0 - 7- �/��' <br /> Total Fee: $ � � ' �� � `� Date Received: � <br /> Entered By: �� � Permit#: � (��5 <br /> � <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 O CONTRACTOR_� <br /> JOB SITE ADDRESS: � U� S(., L,�,n.i r� Z�.���� o'i- ZIP: 5 S.��`1 <br /> NAME OF OWNER ( - p�nc�f�vti.�'�--- PHONE: (home) `i�1 L-��y/c� <br /> ' (work) <br /> MAILING ADDRESS: �fl�lO L�.�� La�✓�,.� �- CITY: 17i2�.�;v� ZIP: 553� <br /> CONTRACTOR: �j�i �r�4.G�`4'� PHONE: � 7�t 3!7z <br /> CONTACT PERSON: 5,�+,w� MOBILE/PAGER: , f� ���� <br /> MAILING ADDRESS: `Z26 a � ,s����� ���� CITY: ru�;���r�a ZIP: 53' , <br /> STATE LICENSE: # �,�S'' <br /> ARCHITECT/ENGINEER: ��5Tf�t7�. SS'�� . __ PHONE: L/�0 D��� <br /> MAILING ADDRESS: sp� ��E�✓7 �'}� CITY: f_,r<�s,,.,n Z�� 5�3�/ <br /> rJAME; :�"2v- �'�5��;�. ��— REGISTRATION# 'SS"7% <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration_� Land Alteration <br /> PROPOSED WORK( esc 'be in detai�: S��- ��'��! ���-�� �����C�' -�i <br /> ,r�jt,�,�c.� �� � cnJ� �---- -�� e D/V <br /> STORIES: SQ. FEET OF EAC�i FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_T' �� � ��,v J`� <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: l � �j�`I � <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />