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. , _� �P3� .�g � n � <br /> Total Fee: S - .� Date Received: �� �C2_ <br /> Entered By: ��� Permit #: �c `? <br /> r��}�,_ �---- �-L.:��- <br /> `��. J <br /> CITY O�' 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 APPLIC�NT IS: (circle one) OWNER OR CONTRACTOR ,' <br /> JOB SITE ADDRESS: �y�� �'s"k�ziz- 1����uc ZIP• j S�i�Y <br /> rV►a�►�f , w�N • <br /> NAME OF O`��NER: �.,c� rtcc,c.�c�i.,� PHONE: (home) y�Z—i3y—�j��s— <br /> (work) ��v, c�a�� i;�z- 79�i--���o <br /> MAILING ADDRESS: 1`l2� t'rt✓'--� D�-��t:.� CITY• �,v�,e�w:� t N,.,,L ZIP• ST3� y <br /> CONTRACTOR: T ►v�. ��ti+N...,v�� (-"t.-.s r.. 1v��-- PHONE: �J;"Z--��'d'-oor �� <br /> CONTACT PERSON: -�-�r►,. K��.Yv�-t MOBILE AGE : �,iL—s,.;- z,, �-7 �ae Lt(3��� <br /> MAILINGADDRESS: t,,�L� �cti��y sr �� CITY: k'����c,� �-�u� ZIP: .�-,� -� � <br /> STATE LICE\SE: # Rc,— .��';� <br /> ARCHITECT/ENGINEER: ti'/cf1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � � Addition Accessory Structure <br /> Zsove Remodel/Alteration Land Alteration <br /> PROPOSED`�-ORK(describe in detai�: 5;t�« t'����� ��� N��+% Mc��� <br /> STORIES: C�.`� SQ.FEET OF EACH FLOOR: Zs�3 s�a_ �-. <br /> NO. OF BEDROOMS: �f�� GARAGE STALLS: ATT. �� DET. <br /> ESTIMATED CONSTRUCTION VALUATION(exciuding land): $ �3��� o�� "` <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that t�e 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:�,_���2�i;.�- L•.�. �,�-=�=�- DATE: `- t�: -C Z <br /> �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Departmen� and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />