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� ,, �.-;�� <br /> Total Fee: $ �" � - � � � Date Received: � /� �t�-�,r <br /> , ' Entered By: Permit#: i �-� �`� l <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) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �j 'M � � a p R ZIP: 5 S 3 � � <br /> � <br /> NAME OF OWNER: (�,�., ►'l o. �-�.b5 G� PHONE: (home) y 13�a 3 6 � <br /> (work) <br /> MAILING ADDRESS: �-}S �v1� R+�t,w�d� �CITY: QR�� D ZIP: S�J3 / <br /> CONTRACTOR: �� �Fl S(<a g C o vvst'�„c,Tt 0�v PHONE: �7`�- � 3`�3 ��S-16 �� <br /> CONTACT PERSON:pA�i� R as k�� MOBILE/PAGER: �65-7 6 0 7 <br /> MAILING ADDRESS: 1� 6 y a�.d�u� A.vZ_ CITY: V1/lec��NA ZIP: S� <br /> STATE LICENSE: # �y� I <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NANIE: REGISTRATION#t <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration )0 Land Alteration <br /> PROPOSED WORK(describe in detai�: RQ„vv�01/�, O 1 0� G ��. �' �2, v� l� �,.� ,", <br /> 1 0 ,i� � n. - 0" l G na�v�sZ- 6 X 1. 2,�d k�F� <br /> 1.' �4. dW 4.X�5�'rn.� �Oo � ��.� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ap <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���bbb _ <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 understan is is not a permit and work is not to start without a <br /> permit; and that the work will be in corda ce with the ap roved plan. <br /> APPLICANT'S SIGNATURE: s�.��� �—'DAT'E: �'�`�- �� <br /> NOTE! Parade of 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 /> 5 <br />