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� ��i �S � <br /> � � <br /> Total Fee: $ _ ly�¢ ate Received: �-�- �� <br /> �ntered By: �N�w I Permit#: _ -�? �`�`7S <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOIeT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------__=---- <br /> ---�------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR' <br /> ___------- <br /> JOB SITE ADDRESS: �`� � 3 �-�i'z-�� +����- ZIP: �5 3 9 I <br /> NAME C3F OWNER: \ ��\ i A r���r�¢..2 PHOivE: (home) q�a-� � - �,�3�3 <br /> (work) <br /> MAILING ADDRESS: 3� � 3 �-�rt'�c r�v� CITY: �,;c,,,T�u�� ZIP: S�;-��� � <br /> CONTRACTOR: Ljc��-�h w�S� Cor�y��.u e��i orU G c�� PHONE: tp+�- �a� -� �3�I �a <br /> CONI'ACT PERSON: B�c�,fz�t �c.1�w�+�-e� MOBILE/PAGER: ��3.-��S- o��-J <br /> MAILING ADDRESS: ��,� �4.� ""q v� ;, ►�_ CITY: �c-ke r� ZIP: �5 3�� <br /> STATE LICENSE: # �o a'►`�`�3�O <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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�: �� �c�.n� �n�.: �rx,��«��� <br /> �-���u�h�1�-�sz_ C,t�ti�� t�o� � � `�� �, (�F� <br /> 1 �A <br /> STORIES: � SQ.F`EET OF EACH FLOOR: �5� ���� <br /> NO. OF BEDROOMS: {� GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (0 5 ,v ��.��' <br /> I hereby apply for a building pemut 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-t�s is nqt a permit and work is not to start without a <br /> pemut; and that the work will be in ac�r��p� nc� �v' the approved plan. <br /> :, —� `,1��,� i <br /> APPLICANT'S SIGNATL�:-+- �, DATE: � � S- c'� <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will nat be allowed. <br />