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# <br /> ,Total 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 print all information) <br /> --------------------- ---------(-;---------�- -------------------�__--------------------------------------------- <br /> THE APPLICANT IS: ccrcle one OWNER OR CONTRAC OT R <br /> �-� ��� ,C�� � ��� �, � �� '1 � 1 ' <br /> JOB SITE ADDRESS: c� ! ��_� ;'��f�.�l- % L-(ki-� _.f� 1< 1 ���__ 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 required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �`>R�.��_ [�G�J 1 PHONE: (home) ��7�--=/ ' S v <br /> �.,, t, <br /> (work) <br /> MAILING ADDRESS: ���� ����.L-(V�S ��('..:�..�%CITY: ��:i�Ly1�;�i ci��A�_I���ZIP: t"�" �- <br /> �,�� r <�j <br /> CONTRACTOR: , t� � � _ . <br /> _� J�,�{.�n�;1i�;-'',,t ��!°`��;'l�'k`, PHONE: �7L��� ����_� ..�_��� � <br /> CONTACT PERSON: �C�.I F' MOBILE/PAGER ��;�� �7�`�- �;�'5�,� <br /> MAILING ADDRESS: � 7��� !,��t ��%���� CITY: �j�t, ;�;�'�{_.���-ti ZIP: `�� `{ 7 <br /> i -J' <br /> STATE LICENSE: # �3� � <br /> ARCHITECT/E1�'GINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration Land Alteration <br /> � 1I� <br /> PRQPOSED WORK(describe in detai�: h 1��� (J�.1L���<�j�z. ��C{r�'f' �� , �� p,r�� �c�I��?i`' 'L'��L�1�� <br /> �J � ,��'t-':.;_ �; t�- �..J1.4�i (�� ..:1� �_Li�.C('(`�`C'.r'.(�U Pi'� EL_t SO(.��-�-✓' S�j r1 S/('C <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDR0011S: GARAGE STALLS: ATT. DET. <br /> .ei - <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 7_� �'C� � <br /> I hereby apply for a building permit and I aclrnow�ledge 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�.-perm3�;a that the work will be in accordance with <br /> the approved plan. ; , <br /> ��..� <br /> APPLICANT'S SIGNATU • �� � � DATE: !����" l�C� ��, <br /> _ <br />