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t .� <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infarmatio�z) <br /> -----------------------------------------------------------------------\�--r•----« ------------------------------ <br /> THE APPLICANT IS: (circle o�:e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �C� J� U� �r.� ZIP: <br /> Will this be a Para of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be nllowed. <br /> NAME OF OWNER: �,�yv�_ (�J t (I�i�i°i PHONE: (home) � <br /> (work) <br /> MAILING ADDRESS: �� � CITY: arar�.0 ZIP: <br /> CONTRACTOR: ��-�►'� (��T�'���'f` PHONE: Y � ���- <br /> CONTACT PERSON: w MOBILE/PAGER: �R� O/ 5� <br /> MAILING ADDRESS: ' CITY: n� � ZIP: �$-3G <br /> STATE LICENSE: # ,,.;2v2 cI�1335� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration� Land Alteration <br /> PROPOSED WORK(d cribe 'n detai�: (/G J � ��/� <br /> i'1 S� � r�K ` ,� <br /> STORIES: � SQ. FEET OF EACH FLOOR: I�ll� <br /> NO. OF BEDROOMS: s,� GARAGE STALLS: ATT. DET. <br /> �✓ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ?d�� f <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with codes of the City and with the State Building Code; that I <br /> understand this is not a permit work is not to start withou rnut;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I6 �� � <br />