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w <br /> � 1 <br /> Total Fee: $ ���J, �'� Date Received: / ' - ��;-�i 1 <br /> Entered By: _�,v'u Permit#: i ;� �/ '/ <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: 3�4 5 NCm.-f� S}}� bjz, ZIP: �5 3 b4' <br /> NAME OF OWNER: Lt�f�1-i � M!�'�Nr ��T'Z- PHONE: (home) 4'I l- ��-,L1-- <br /> (work) r'!Z4-—�h�v <br /> MAILING ADDRESS: sK� CITY: ZIP: <br /> CONTRACTOR: I�r��ae � O�T F-�o�+-oWs PHONE: 5'�-5 -o.6i�'' <br /> CONTACT PERSON: Mo� F�e�►?.fw MOBILE/PAGER: 4 t$-�t.��o <br /> MAILING ADDRESS:,r-pl'Lo Wtti��i�( � . CITY: b�,t�.► v�t,t,e�ZIP: 55 4�'�-- <br /> STATE LICENSE: # 3Lb � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING 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�: 3�� 3 t ��ta�-l-�o� <br /> STORIES: �`I i-- SQ. FEET OF EACH FLOOR: ^' (o�b <br /> NO. OF BEDROOMS: _j_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �D�� <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 in acc rdance ith the approved plan. <br /> APPLICANT'S SIGNATURE DATE: lz� �'i��� <br /> � <br /> NOTE! Parade of Homes events require s rate 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 />