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C�°� �`�s�b3 <br /> ,Total Fee: $ a��y. 2� Date Received: � lC'��l� <br /> Entered By: Permit#: � <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) �OR CONTRACTOR <br /> JOB SITE ADDRESS: � J o iV�,�-�•. �-n.�.�. �n;u-� ZIP: S ,��6 ��' <br /> �i� 61L-36� -cKz�( <br /> � <br /> NAl�IE OF OWNER: 1'MAfit �- (�-e:c�.c �-y PHONE: (home) �7�3l�`� <br /> . �— (work) �i2-375-- 7Y�/ <br /> MAILING ADDRESS: S�� N�rdG- �r�» Ar*'�� CITY: i��*�-� ZIP• ��76 Y <br /> CO\'TRACTOR Ln„�s�,t�'��w �2<s�(fY C� PHONE: �6.� - Ss�-- 1 r o� <br /> C01�TACT PERSON: yt.l�r�I� �n�eQ.,�a NIOBILE/PAGER: 6 i 2 1;�z SE.s"d <br /> M.AII.ING ADDRESS: j � l�7� Z�1.� �- N� CITY: r t�,N.,oyrt- ZIP: S S `(`�� <br /> ST�TE LICENSE: # 1�� I�l d S?S <br /> C�1 V( <br /> ARCHITECT/ENGINEER: �di.�. (�-�.y PHO�IE: �'Z -��� !,'�`�� <br /> MAII.,ING ADDRESS: S.� �;g �,b�- CITY: ZIP: <br /> NA.IIE: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detain: ���#�a-�– �- ti'�-�-� Q-e�n�*µ, <br /> 3�.��tr�,..,�e.���ks� !. i.,-�� liexrw- 4✓ f�oc�w�-� �v�cr.,,_,wd� <br /> , <br /> STORIES: 2– SQ. FEET OF EACH FLOOR: T'� `-r� <br /> � . T. D G I� <br /> NO. OF BEDROOMS: I GARAGE STALLS: AT ��� <br /> s�� � <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ 1 <br /> I hereby apply for a buildin� permit and I acknowledge that the information a <br /> accurate; tl:at the work will be in conformance with the ordinances and codes of the City and witti <br /> the State Building Code; that I und"e3stand this is not a permit and work is not to start without a <br /> permit; and that the work wilI be in accordance with the approved plan. <br /> APPLICAI�iT'S SIGNATURE: �� DATE: `� �S �-3 <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 /> 5 <br />