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, c-� <br /> Total Fee: $ /�� U� ' Date Received: /�--/D D 3 <br /> Entered By: �7 Permit #: f�0 �0989 <br /> ` ,�;��:�r �- /�' Z�. <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 on�FR�n�NTRACTOR <br /> JOB SITE ADDRESS: �, �`3 ii t N�A S�l�y� 1Z�. �.x�>C,�5 t���ZIP: J ►,— � .� y <br /> NAME OF OWNER: `� '� l._. � �; ►r1 � t_E �; � PHONE: (home)�-�1 r� � `� f y• i� y F143 <br /> �p_ (work) tv 1 �, • �v � . �-�� �7 <br /> MAILING ADDRESS: ��,� �3 0 ��' �.� i_ ,� �����; CITY: � '�t C�i_",�c� i'� ZIP: ��; ; 3`� � <br /> CONTRACTOR: �,��nr �y�� t� PHONE: /,� t� � - �? � � - �1�� w'7 <br /> CONTACT PERSON: ��C ,� �_� � ��^►�� �w.ka �� MOBILE/PAGER: / \ �:� � � �- � - �i'7 i �7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> n-I:�II..ING 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�: I G r��- � 5 ��� � !� � i, 1 ; �U r� - � ��C�� �,� � ��f��� <br /> ��� a���5 ���"�� ���;g� iL ��, �� C. �- d"� '� �N � ��% �� , �v� �t�� ._ � �'r � L. � <.� ��- 3 a;� ��_ � v � � <br /> �a r T ih�U �C� �'i �'1 F_ `t'� v y�r !'?' l,i t, � r.� �'� 5 �� C� i;� «��` �`�. i_ r"c�'i r i... G rv �+ �a �.�t.i, � i i; �_ <br /> STORIES: SQ.FEET OF EACH FLOOR: "� L� r -r� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � C�, U f} C� `u�-- <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 /> n, <br /> APPLICANT'S SIGNATURE: n��,i, DATE: 1 I - � - C�3 <br /> N TE� P r e H m s ev nt re r e ar rmit � r val Police De a <br /> O . a ad of o e e s qu e s p ate pe pp o by p rtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />