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� � <br /> Total Fee: $ � �'�%• �� Date Received: �' ������%% <br /> Er.tered By: .;�� Pernut#: /�-t;(� ;�?�" <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) OWNER OR CONTRACTOR <br /> JOB SIT'E ADDRESS: 2 � 43 a N�°4�,s'��� Dr z�: �'S�9 I <br /> NAME OF OWNER: 1't� �� � �� I r Sc�c� I PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 21 �0 Nr�°��Is�tc,rr �� CITY: ��y'2a ZIP:� <br /> CO\�RACTOR: ���,n IZ N�c y PHOl�'E: �(2�(�� � ~7 2 G Z <br /> COr�TACT PERSON: s�.� 1�IOBILE/PAGER: S��► � <br /> M.AII.ING ADDRESS: 10�� t�T� �i.�l w CITY: w;�y�za� ZIP: S'�391 <br /> STaTE LICENSE: # <br /> ARCHITECTlENGINEER: PHO��TE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NA_�IE: REGISTRATTON# <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Move Remodel/Alteration'� Land Alteration <br /> PROPOSED WORK(describe in detai�: ►y� d�'� eX�s�}-,i-k, ��cv-�'�,z� w��� a-�� <br /> -� ���I �d r�; I���, <br /> J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOviS: � GARAGE STALLS: ATT. DET. <br /> ES'TLl-IATED CONSTRUCTION VALUATION (excluding land): $�_300, a� <br /> I hereby apply for a buildin�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 Buildin� 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: Kr7��,,,�� DATE: ��-- 0(�-. 03 <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 /> 5 � <br />