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Total Fee: $ ,�� �z' Date Received: �( -�� u-(���_ <br /> Entered By: ,�l_ Permit#: '� ()� , ��, <br /> � �3�, CITY OF ORONO - BUII..DING PERNIIT A.PPLICATION <br /> r � U / - <br /> !� `}�` All information must be submitted in full before plan review will be started. <br /> \�� (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> . � <br /> JOB SITE ADDRESS: t� �� I /�✓� ��{ i"��L'i �/'�( I.��� -- ZIP: .��j.�j��� <br /> NAME OF OWNER: <br /> 1-Ih/T�,!-�- /�-'� • 7���-�'�t/ PHONE: (riome) ��S z - �7Z-C7`=f 7�� <br /> (work) <br /> 1�IAILING ADDRESS: j�l'6') C . CITY: Zg': <br /> ��SZ�-�f 7Z- �.�t 7�� l2� r��� - �u;��G.� <br /> CONTRACTOR: " `j��-�'" PHONE: (�.�l�4 2�`��'�11`l l C,�?-ll Cf�L�s <br /> C0�ITACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /���/17�'7�'G��' l�r%�vSi. PHO`TE: .:�5� _c�J � _/5/� <br /> MAILING ADDRESS: r 3�i S� `�r �i�`��lrc'��! l�, CITY: ���4'1����r�C, ZIP: ��3� <br /> NAt�'1E: �%1i'[5 /�l�?Cl�- -��v��i����-_)_ REGISTRATION# � <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: (,�� a�-T7d r� C��� <.X�'G1G -� t!�}Y�T <br /> j �, < -� ��� ��)��y��� C�-i:-c r- �� „�„ � ,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT�. � DET. <br /> ESTI1-i �ATED CONSTRUCTION VALUATION (excluding land): � <br /> I hereby apply for a building pernut 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 approved plan. <br /> APPLICANT'S SIGNATURE:, ,,jG l 1C���,„;`i �%�" 'G� DATE: L; � G�� <br /> � ��' � "�� � <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 />