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, . ` <br /> ., <br /> e Total Fee: $ � l��b Date Received: �a -' ���� <br /> Entered By: ,up, Permit#: . ,. �/ZooS' <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 SITE ADDRESS: .�j135 NORZI�i JHO�,E UIQ.4 ZIP� ��3� � <br /> NAME OF OWNER: }�pB�R�°'�DEC�C�RA ��vot�soN PHONE: (home) Ci�t2)`�171 -I 195 . <br /> (work) (��2)37 I-Z�58 <br /> MAILINGADDRESS: 3135 No�jt-�SHORE DR. CITY: oRONo ZIP: 55.�9a- <br /> CONTRACTOR: '�b No,r�i�v'S�r� �ou�►�+�� PHONE:,((�i2� �-171-I1yS <br /> CONTACT PERSON: 7�bb i e 1-�c�I v avS ar� MOBILE/PAGER: <br /> MAILING ADDRESS: 3 t3S No.ShcN� �� CITY� O�o nU ZIP: 5539 I <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N,�ME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> t'e tac-�- <br /> PROPOSED WORK(describe in detai�: �e�lace -E-roni- 4x��cY� —�� si�u�rcusc i nside <br /> So �n�c�� is �n f,rs� level '�ns�ea� of s�i�� 1eye1 Cse� plc�nl ��� cNm� wc� w��,�w.�-s <br /> STORIES: o�i SQ.FEET OF EACH FLOOR: a��a <br /> NO. OF BEDROOMS: '-} GARAGE STALLS: ATT. �3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �Oi 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 approved plan. <br /> APPLICANT'S SIGNATURE: �uv�.���CN�m DATE: I a-���IQ <br /> NOTE! Parade o�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 />