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1 � �+'� <br /> � Total Fee: $ ��k �a c4 Date Received: (,, � Z C�n � L� <br /> Entered By: ,�'j Permit#: �� `>� �-;z <br /> p� CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> �� <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: �( C�Cp �u�'�'�� ����� 1,1u� � � (J ZIP: �S 3 (L, �� <br /> NAME OF OWNER: ���:~�ti'������,t�e Y��P_. N� � c�0 Y'V\ PHONE: (home)�j�� �)��� y��C�C� <br /> (wark) <br /> MAII,ING ADDRESS: � �� �o�`���l�w��t�c, CITY: �l�l r��vU.s� ,� ZIP: S 5 3�� <br /> �c�� ` • ZU �-- c(' `73 � <br /> � <br /> CONTRACTOR: �-�Fc-.-7"cI� � ;�� rc� PHONE: �� <br /> CON'TACT PERSON: C-�.—�� ��:�v�.� �'�_ MOBILE/PAGER: <br /> MAILING ADDRESS: �7�j S7 S�rPpZ' S� CITY: ����-� 1�-� ZIP: S �� 3 <br /> STATE LICENSE: # :'7 h�,� �����/ <br /> ARCHITECT/ENGINEER:��L 6 � � ��I ` . -�� ' �,� �-��;-C� , ` <br /> `c ' '�'� IU�c�, � � =� r�v < PHONE: 7�C� � <br /> MAII,ING ADDRESS: �1 t C' 1-�E-'r����c� � n � CITY: fi'(���c���.���-{� ZIP: ���� � Z <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � � � ; ` �c�i�� �� r� � _5� � �' �' �' � <br /> STORIES: -� SQ. FEET OF EACH FLOOR: � � ��' � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ��,: � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���J�% �� C'� �"�. — <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 the ap roved plan. <br /> �'� �� J � - <br /> APPLICANT'S SIGNATURE: ���-��-�.�-� h .�. r., ���-� DATE: �,— ::� ��> - �� �— <br /> ,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 /> 5 <br />