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, . � <br /> Total Fee: $ � � � ��� � Date Received: � �1 �b� <br /> Entered By: �, Permit#: � c�3 3�( <br /> �^ `,.�,,,:, --, �; t` <br /> �r�c'. <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please print all i�rfornzatio�i) <br /> THE APPLICANT IS: (circle orae) OWNER OR NTRACTO <br /> JOB SITE ADDRESS: j ��'j�— ��'17 -�p�',�'� Ct��c�,p: <br /> Will this be a Para of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o If yes, a special evei�t per�nit is required with Police Depai�tmerzt and City <br /> � Council c�ppiroval 60 dczys prior to tlze evertt. Non per��zitted eveizts will r7ot <br /> be allowed. <br /> NAME OF OWNER: �n1 Y1JY V`J�-S� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��- ���$�'�'a„nfiC'i+��TY: ��/�.� ZIP: <br /> CONTRACTOR: (� m ' PHONE: ��'Z�J� - <br /> CONTACT PERSON: + MOBILE/PAGER: ' b "Z-Z <br /> MAILING ADDRESS: �<�<'"�p l Z ��`7 CITY: y�l;�,,.,�,�„�.ZIP: 53 � <br /> STATE LICENSE: # G(J�p,�SS <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R.EGISTRATION # <br /> TYPE OF WORK: Ne�d�� Accessory Structure <br /> A �hon Move <br /> Remodel/Alteration Land Alteration <br /> r <br /> PROPOSED WORK(describe i�i detai�: J��� �' �' �'i LG�C�I�z�,�..a <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $2 .�����Q <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and wor �s not to start without a permit; and that the wo�ill be in accordance with <br /> the approved plan. � <br /> APPLICANT'S SIGNATU DATE: � � �c� <br />