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<br /> �; Total Fee: $ ` � �, �� Date Received: /���-�.5
<br /> �' Entered By: �% �N�,�, '` Permit #: A Ci S�7 5
<br /> �
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<br /> c.-`. ` CITY OF ORONO - BUILDING PERNIIT APPLICATION
<br /> 1
<br /> � All information must be submitted in full before plan review will be started.
<br /> - (please print all information)
<br /> � THE APPLICANT IS: �circle one) OWNER O CONTRACTOR
<br /> �,
<br /> �,;
<br /> � �R
<br /> �� �' JOB SITE ADDRESS: �
<br /> p,�8''�� 7�ilm�,��' t��� ZIP: .S.S33/
<br /> � Oi'eiti
<br /> �,
<br /> �; NAME OF OWNER: �.:,� �tJ'�. .f��.I,4.,..(./� ..,,o PHONE: (home) !`s'e?-�o�-0 3.�f/
<br /> (work)
<br /> y� MAILING ADDRESS: /a?o �,:��,C l„-r�',�',P�CITY:e,�_BT ZIP:�-�-_33�
<br /> � ,� ; , � � � � ' �. . � . _._
<br /> �;�' CONTRACTOR: �6vf'f%i�.� �o�s� Z-ne- PHONE: ,rjG3-S.S'7-/ls'7
<br /> `� CONTACT PERSON: �6 MOBILE/PAGER: G�� - �G�--���z
<br /> MAILING ADDRESS: /�7�s �-y� �✓�,(Je CITY: ZIP: �yrst�
<br /> STATE LICENSE: # oo�/�3 �
<br /> ARCHITECT/ENGINEER: /�'ja���A_/�/%,��,�PHONE: G�.?� .�33- iya z
<br /> MAILING ADDRESS: /�y/ s,�„r,��,,,,,, ,4r�•� CITY: �7�/s ZIP: �'<ss••ro�
<br /> NAME: ��.� /�1..��,/.,�.. /,� REGISTRATION#
<br /> L�2uc�
<br /> TYPE OF WORK: New� Addition Accessory Structure
<br /> Move Remodel/Alteration Land Alteration
<br /> PROPOSED WORK(describe in detai�: ����,.,��- ,,�,Gw �mo� ,,1,;'„��q/
<br /> �e.n�. -�c�. �/.���,�.:��
<br /> !il c/yal�s
<br /> STORIES:�_ SQ.FEET OF EACH FLOOR �r . • • !D v 3? B�a�•�.c1-
<br /> NO. OF BEDROOMS: �,/ GARAGE STALLS: ATT. ���E'f. w/,C��......- /«�./
<br /> —7,
<br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_�/ G oc e eo'�
<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 acc nce with the approved plan.
<br /> APPLICANT'S SIGNATURE: DATE: /-�Q- d 3
<br /> NOTE! Parade o Homes events require separate permit approval by Police Departmen�
<br /> City Council 60 days prior to the event. Non permitted events will not be allowed.
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