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� t r <br /> '�'otal 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 prifit all i�zformation) <br /> - _____- <br /> --------- ------------------------------------------ , _�- -------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ae OWNER CONTRACTOR <br /> JOB SITE ADDRESS: �3�� SN�+�=-yc,�`c��� � ZIP: � <br /> Will this be a Par e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event perfrtit is requirecl wit1� Police Depczrtment and City <br /> Council appt-oval 60 days pnor to the event. Non permatted events wall not <br /> be c�llowed. <br /> NAME OF OWNER: ��'l�f(S�� V���?�.s--�-� PHONE: (home) �7��- Y7 Z 3 �� 5 <br /> (work) (�11 - 2 �2 - / `�`�Z <br /> MAILING ADDRESS: "���;1�J/ ��,�f�� ��CITY: /✓lv��� ZIP: ��3 ba <br /> CONTRACTOR: � �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER ��-� `��v�� PHONE: <br /> MAILING ADDRESS: �t�l �Z e .a�t� s C�z-� - lJ-� CITY: 1.,�/�z��� ZIP: �3�i ( <br /> NAME: REGISTRATION# �� 3 � <br /> TYPE OF WORK: New Accessory Structure <br /> Addition � Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe iiz detai�:�-c� cN1 ��C [,��� .SG' �r-Z ���J� ����- <br /> � i`i`l/v 1 . Z `--'"-` �YvZ�cVh S C� //1�'�'` C vG/�4�n � �� � I N TL-'�2 ro/t I=INi!N 'fts � <br /> ��=7�A24�rr� P c�ti»�. �T <br /> STORIES: _�_ SQ. FEET OF EACH FLOOR: /�-!�l C' <br /> NO. OF BEDROOMS: -- GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S� C7 G� U <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 ordi�nc an odes of the City and with the State Building Code; that I <br /> understand this is not a permit and work ' not start wi out a permit; and that the work will be in accordance with <br /> the approved plan. i _.__ <br /> �.PPLICANT'S SIGNATURE: �/ DATE: ����' � <br />