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Total Fee: $ a 33.7 3 Date Received: 3-a-o�' <br /> Entered By: _��� Permit#: ff085�8/ <br /> � 0 <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: (circte one) OR CONTRACTOR <br /> " , <br /> JOB SITE ADDRESS: � �i � " ZIP: ,�� <br /> Will this be a Para e of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Depat-tment and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �C � � PHONE: (home) ��( <br /> .__ (work) <br /> MAILING ADDRESS: � �' r,�,�/��1,t G� CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: I ' CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �- o`�t PHONE: <br /> MAILING ADDRES5: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration � Land Alteration , <br /> P OP ED WO des ribe in d ai�: � , �C <br /> .�� U w �c <br /> STORIES: �_ SQ.�'EET OF EACH FLOOR: I �� <br /> NO. OF BEDROOMS:� GARAGE STALLS: AT� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ -7,Dn�O° <br /> I hereby apply for a building pernut 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 pernvt and wark is no to start witho t a ermit;and that the work will be in accordance with <br /> the approved plan. , <br /> APPLICANT'S SIGNATURE: DATE: �/ ° � �� <br />