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� ' � <br /> 1 <br /> � � ���� � _ <br /> Total Fee: $ �� � � �' Date Received: �� �' <br /> Entered By: ���f�,�( i k'��,C�' Permit#: �l 1, �� �h <br /> CITY OF ORONO - BUILDING PERNIIT 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�R CONTRACTOR <br /> JOB SITE ADDRESS: �}5 9 O i�o�-�i�, 14�w, D�� z�:_ �5� ��I- <br /> ��'c>r'�a <br /> NA.�IE OF OWNER: ��� ��n�PI�P, � l t,,t�,�PHONE: (home)q S 2- 4 72 '3�,Z(o <br /> : (work) �5 Z ` �R�'S SC�7 <br /> MAILL�IG ADDRESS: �S�l� l�(• �k1i Yvi � CITY: ('c�;�n�-�i ZIP: S� <br /> CO\�TRACTOR: ��m �E�^E�'1 PHONE:_ <br /> COr''I'ACT PERSON: �l v�i� .�v�hY'��.�. MOBILE/PAGER: �� Z _ �2,�� 3 f36 0 <br /> NL4LT�ING ADDRESS: �y 1 � �n,-r-z CITY: ��%p��a�„� ZIP: 3� <br /> ST�TE LICENSE: # 2 0 3�����-( <br /> ARCHITECT/ENGINEER:�� T�. PHO�IE: <br /> MAII.,ING ADDRESS: CITY: . � ZIP: <br /> NA.�IIE; REGIS„�R�i�'fON# <br /> � <br /> / � <br /> TYPE OF WORK: New Addition �_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �-_ ( <br /> � � <br /> � <br /> STORIES: I 5��ry1�Vt}- SQ. FEET OF EACH FLOOR: � �S�- <br /> NO. OF BEDROOMS: � I GARAGE STALLS: ATT. �_ DET. <br /> ESTZ�IATED CONSTRUCTION VALUATION (excluding land): $ Z.�4�'J�G'E�C <br /> I hereby apply for a buildin� 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 /> perm.it; and that the work wiR be in accordance with the approved plan. <br /> r ` ) <br /> APPLICANT'S SIGNATURE: ' j2 ' � DATE: �l �Z/ a� <br /> . <br /> NOTE! Parade of Homes eve s require separate permit approval by Police Department and <br /> Ciiy Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />