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t � � '`/���0� <br /> `•T <br /> � -�7 ��-� <br /> Total Fee: $ 375.33 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 print all information) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �a`yS �ha� �.����� ��� ZIP: �S� .���� <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 reqt�ired with Police Departrnent and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �a>�,� � f'C�U� �v,�r�o r S PHONE: (home) �S a �'�/���'�`� <br /> ? work) 9Sa ��:;�- �:�'a/ <br /> MAILING ADDRESS: ��y�-�d,c«/��-,(,�o� CITY: � ZIP: i�=�-� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: � MOBILE/PAGER: <br /> MAILING ADDRESS: `" CITY: ZIP: <br /> STATE LICENSE: # <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(describe in detai�: l rn e x, S�j> .-,v bec��„-, )n"� � �-��i��•�-, , <br /> � '7�S ' � <br /> STORIES: �- SQ. FEET OF EACH FLOOR: o � <br /> NO. OF BEDROOMS: 3-`,/ GARAGE STALLS: ATT. � DET.�_� <br /> ESTI�IATED CONSTRUCTION VALUATION (excluding land): � ( �� Ot�O <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 permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br />� <br /> APPLICANT'S SIGNATURE: �%� � ���" DATE: O�`- I�-� <br />