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1 1 <br /> � Total Fee: $ �j��r'j � Date Received:� '�a� <br /> Entered,By: Permit#: � �� �> 1';� <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: I I sL� C- YNI�� �'7 V P, ZIP: �S 3 �--� <br /> NAME OF OWNER: J�.s l�d✓Yt P S PHO�1E: (home) '`�,S'.�-`J��jy-3�p,�(� <br /> (work) 95�� � yy— 3G 3 G <br /> MAILPTG ADDRESS: � wPS-� �� .S.tC�T�fGha-,�4s,Sr-►ZIP: ,S" / '� <br /> c <br /> CONTRACTOR:�I�-S 1'!D m P S PHONE: ,,Sr� ' �I� � 3 3� <br /> CONTACT PERSON: Grc ys� MOBILE/PAGER: �� " l�'� <br /> MAILING ADDRESS:g7� nS 78� f'���f�ITY:CG,��, L,,;;��p.-, ZIP: S 317 <br /> STATE LICENSE: # �� <br /> ARCHITECT/ENGINEER: M.virl{ f'v.��(Gl �.Pd�,5� PHONE: ejs,Z-�'J 3 y-' 7�y� <br /> �'IAILING ADDRESS:Sl0 W�s(� ?g'fGj S�. SaIf�ITY: C�+qh G,c,ss��ZIP: � <br /> �;��: REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �rPC f� S�✓�SIP �s�N l/y �wPll��v�' <br /> STORIES: �. SQ. FEET OF EACH FLOOR: /�� ��5� 1 s��G� �l G �I <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �/��� d�d� <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 e appro d plan. <br /> APPLICANT'S SIGNATURE: DATE: �v! ( / - `�'�v <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />