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T ' IL1�IY��� <br /> �2-3-0 `-� <br /> TotalFee: $ / .D�o DateReceived: /� � Z9'-p� <br /> Entered By: Permit#: �{ v g Z �lo <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all iiafor�natio�i) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ae) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,?p8 ,�j,9�s/e� � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event perniit is required with Police Department and City <br />- : Council cc-pproval 60�la�s prior to the event. No�permitted evei�ts will not <br /> be allowed. <br /> NAME OF OWNER: ���q,��/ ���� PHONE: (home)���-�/7/- og�,�r <br /> y�� (work) �,'/�-.388 - 3�'182 <br /> MAILING ADDRESS: D G�C✓��'(;1TY: O,LoivO ZIP: <br /> CONTRACTOR: � .�- ' PHONE: �'��?-�4�1�Oa/ <br /> CONTACT PERSON: MOBILE/PAGER: �/�-�/� -3/9.r' <br /> MAILING ADDRESS: 3' e � CITY����1�?/� ZIP:�y7 <br /> STATE LICENSE: # �43��?� .3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration� Land Alteration <br /> P OPOSED WORK(describe in detai��i' �r � �p�� � �� <br /> c � % �' 1/� o� �� c' � " .�?h'�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L��D�'.Y'J <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 work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ^ d <br />