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w. <br /> � , , , <br /> Total Fee: $ �1 C i � Date Received: 3 �� -G <br /> Entered By: i2_U Permit#: � � 7 2 <br /> � i����-�� t 3 j ,� ( ��c� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforn:ation) <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: � � �� (�vy�� �-17�� ��1�� ZIP: �� �s� <br /> Will this be a Parad� of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: � ��C�LI� f��10►n�-�uhsan pHONE: (home) g' y��` �`�y <br /> (work) <br /> MAILINGADDRESS: ���G C-p�'1�j �f� �����CITY: �V�C>�?L ZIP• �S3s-r� <br /> CONTRACTOR: /' '�f r 1LC'���'�— PHONE: � l �'• ��� • ��I 9 <br /> CONTACT PERSON: ��� �/t�i2 MOBILE/PAGER: S��-� <br /> MAILING ADDRESS: � l S S� ��s CITY: l.�/��c'n,%� ZIP: S��3� <br /> STATE LICENSE:�- �C - � �3 ' N 5" <br /> ARCHITECT/ENGINEER: S � � � �,lt'u�p�l�-z... PHONE: L/�� � Z �� � � L/�// � <br /> MAILING ADDRESS: �,'C �' i S� S � � CITY• �✓�����` ZIP: 5 5��•. ? <br /> NAME: �71��7 N� �.(�;�('� REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration � Land Alteration <br /> PROPOSED WORK(describe in detain: _�l�'��e- �t'� �,,�z�� S{��'�%'���- ��-, (�''.-��i �-�-- <br /> <_ W��� .��?011e- C�t' c�(cQ �Lv4e-}' � <br /> STORIES: �' SQ. FEET OF EACH FLOOR: S�� <br /> NO. OF BEDROOMS: �.� GARAGE STALLS: ATT. t% DET. NJ <br /> ��c� . <br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ ��,�(,} � <br /> I hereby apply for a building pernut and I aclrnowled e that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinan a d codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to ta without a pernut;and that the work will be in accordance with <br /> the approved plan. <br /> �� � <br /> APPLICANT'S SIGNATURE: ' DATE: 3 1 �) <br />