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Total Fee: $ �.� �� � -� Date Received: /,z2"�rj'� <br /> Entered By: � /� Permit #: A07/79 <br /> �1`� �/ j�� <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 information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) QWNE OR CONTRACTOR <br /> �____.._. <br /> JOB SITE ADDRESS: /�j"`�� (�r')c;��� �� V(� ZIP: 55�35� <br /> NANIE OF OWNER: ,+�'�.�'�1�� �L.►' r.tJ I E S ��'t��J� �� PHO'�IE: (home) ��I�-��13 _�DC��� <br /> (work) ' � `- r �"� <br /> ...�,I�— 1[Li ~ � ),;. <br /> MAILING ADDRESS: I Szl G (..�►1` �c�.0 ►�j14�� CITY: L�,�� l..c JLL ZIP: �-5 � <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHOl��: <br /> MA aLING ADDRESS: CITY: ZIP: <br /> NA��IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ;� Land Alteration <br /> PROPOSED WORK(describe in detai�: �-r���►���,��<, ���Sr e�Vt� -, ����'15-1� �:�►r�t� <br /> ���'t:C%►,'1 `c 1 _i�ur Y\�1 �; 'v"�;c;nr1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���. ��� <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 b�-t acc rdance witY� the approved plan. <br /> � �..(� T ; <br /> APPLICANT'S SIGNATURE:�! �(�,�,� � DATE: j � � � , <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 /> 9 <br />