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' •Y`M,, . � <br /> Total Fee: � b 5 d, Q� Date Received: '��Ur <br /> Entered By: �[�, Permit#: fl . �a; 4� <br /> CITY OF ORONO - BUII.DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------- -------------------- <br /> ------------------------------- ----��----- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: � �I S C�C7'B� � ZIP: <br /> NAME OF OWNER: Ji� Q�� �D,�� /C�'�i�e^<. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �9 S 4 z�'� � c� CITY: �ro n o ZIP: <br /> CONTRACTOR: �l,� a � /4°C/' PHONE:_ G�lZ-�9 7 Zv�� <br /> CONTACT PERSON: Q MOBILE/PAGER: <br /> MAILING ADDRESS: /�7�' ..S�.f�'�S�{ll/�' CITY: a�� ZIP:,�.�'3 7 g <br /> STATE LICENSE: #Z �Z. <br /> ARCHTTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> 1vAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: l)��-n o v { �-<< �f �r'� A rtp��c w,�1i n�w�e � <br /> /1-e C t C fe c�S' a n cC B� Z.t' i n 1E ` �,�.t S �c'�/ -r'Fr �� <br /> f n 1"O 9-{ ct r� !1�c�,✓ i WY`'►'�- . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ 2.� DOO. d 0 <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 Ciry 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 /> APPLICAI�IT'S SIGNATURE: DA�; ��- D a <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 />