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Tota( Fee: $ 1 f ���� ' �` Date Received: <br /> � Entered By: � t� ����� �� � ��__� _��/��� Permit#: �r p$4 Z 9 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�:t all i�iformatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � ��l v jI�-�'at�V Wp��� �,�. �Uv�d ZIP: <br /> Will tbis be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event per�rtit is rec�uired wit1� Police Depctrtment and Ci.ty <br /> Council approval 60 dcrys prior to the event. Non permitted events will n�ot <br /> be allowed. <br /> NAME OF OWN�R: �Gcvin�PS -� G.fC`I I_�� �'( PHONE: (home)�'() Z ��)�Zj6�-- <br /> (work) �'SL �z� 6 �I <br /> MAILING ADDRESS: ��-� l �cX�j✓� ��Q CITY:�V�aK�s�ZIP: ��� <br /> CONTRACTOR: ,� v � �� P�ONE: Ya Z- �ZS���� <br /> CONTACT PERSON: ,�,✓ MOBILE/PAGER: <br /> MAILING ADDRESS: � CITY:���SSP ZIP: �5.3 <br /> STATE LICENSE: # — `' ►., <br /> ARCHITECT/ENGINEER: �� �},L,�,p,�/ PHONE: ��L ���3" L3�¢� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New f Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe i�z rletain: J��.P(� ���Nn,� <br /> STORIES: Z' SQ. FEET OF EACH FLOOR: �6(.1C� <br /> NO. OF BEDROOMS: L_ GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �D t� � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and aecurate;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 work is not to start without a pernut;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATU DATE:j� � � <br />