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i <br /> Total Fee: $ �j���l�` Date Received: �Q-��� -p� <br /> Entered By: -�,��'— Permit #: � �� �,�`�' <br /> � � ''L� �, CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> /�����. <br /> l/" �, <br /> I� All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> �''�----- -�_��z_ l��:s ����1------------------ <br /> -------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �W�'OR CONTRACTOR <br /> JOB SITE ADDRESS: �':,�. �C% �,tY ti,�'�-l� 14►�� d�✓l �Z ZIP: �3�� (o � <br /> NAME OF OWNER: �j�.�.� �,.r� � ��� �__ +�:_i PHONE: (home) �/y- � ��r/- �z jay <br /> (work) <br /> MAILING ADDRESS: 1;�- �'�> �L.��,�L� ti-��� �– ,S�� 6 S/ <br /> CITY:����,,,�, �,( ZIP• <br /> CONTRACTOR: �t(-� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> I�TAILING 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�: a.f:��r 5+��� r� . IL Fc� �- <br /> �''•_ �.s /�/f�tR?� � 07 /� ,f 5 isi;[° .r , .�� ��3 - vru .S�-�d�cy� �lc(ys <br /> , <br /> STORIES:� SQ.FEET OF EACH FLOOR: y�� <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �,� DET. ,�/�<r� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ v'�5U,oG <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 b in accordance with the approved plan. <br /> �__ <br /> APPLICANT'S SIGNATURE: , C;�,�� � , /� DATE: o <br /> �°'� % , / .� , �� ,L <br /> / <br /> NOTE! Parade o,f Homes events require separate permit approval by Police Department anel <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />