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t ' <br /> a '� � <br /> Total Fee: $ 15�a 5 d Date Received: I(-2- <br /> Entered By: �Y(� Permit#: ,O() <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 i�zfor�nation) <br /> THE APPLICANT IS: (circle o�:e) OWNER O ~ONTRACTOR <br /> JOB SITE ADDRESS: � �I�� � �CJ I'-e l ��U�� � V' ' ZIP: <br /> Will this be a Para f 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 permittecl events will not <br /> be allowed. <br /> NAME OF OWNER ��I!� p� � e� S o�n PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: � ��,�r�'e l��r o��'� CITY: (��'��r�j ZIP: <br /> CONTRACTOR: ���jTf/'/ C�O/I g�" PHONE: 7�3-,�y3-.���,s <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: � y0 ;tZ�� �l, CITY: ��►�K�i�� f�k ZIP: �"_y�.6'' <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 /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe i�: detai�: ���,A�� �/� /^�jT/� <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. . <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�,��� <br /> I hereby apply for a building permit and I acknowledge that the informarion 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 pernut and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'5 SIGNATURE: DATE: ���� ��0� <br />