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� <br /> Total Fee: $ ,� �� j ��� ; Date Received: <br /> Entered By: �� Li�� Permit#: r <br /> .-�/ `7 <br /> � CITY OF ORONO - BUIL ING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it al!infori�iation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle oiie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: .-� /�O r,�% ca�Q ZIP: ,5:5�� / <br /> Will this be a Parade 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 approval 60 days pf�ior to the event. Non permittecl events will not <br /> be allowecl. <br /> NAME OF OWNER: ��� " � lj� PHONE: (home) C';;2�f t-�/7/- 7C�� <br /> / wprk) <br /> MAILING ADDRESS: ;�f�Q ,� �;/,�-/,c�c�� � CITY: UGr - c ZIP: .SS <br /> � <br /> CONTRACTOR: C G�.S PHONE: cS � - 6� <br /> CONTACT PERSON: OBILE/PA�ER: ` -f G/-� � <br /> MAILING ADDRESS: , � u � � - CITY: t�/ zir: t��-�� <br /> STATE LICENSE: # �� � i �` � � �� e�% �c��� <br /> ARCHITECT/ENGINEER: ` a -� � PHONE: S�-t` c���-'79�U <br /> MAILING ADDRESS: CITY: ��,� l � e ZIP: S�,�„��' <br /> NAME: � , G ° � REGISTRATION# /V�61� <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration � Land Alteration <br /> � <br /> PROPOSED WORK(describ,e in detai�: ' � � <br /> � . � <br /> - ,, <br /> � �, <br /> STORIES: � SQ. FEET OF EACH FLOOR: �����9 : oZ�1.�Cf <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT.�_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION excludin land : � <br /> ( � ) S ��25- -- � �� <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 the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut 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 SIGNATURE: f /��C�C�...- DATE: � 02 CI--�� <br />