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1 � <br /> Total Fee: � � � � ` �� Date Received: f, (, �� �' `{ <br /> Entered By: �(.� Permit#: � <br /> {�VYJ C,� �'j�v�-y ��, 2��l��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�v will be started. <br /> (please print all info�vnation) <br /> THE APPLICANT IS: (circle o�:e) OWNER O CONTR.A.CTOR <br /> JOB SITE ADDRESS: � /� ZIP: <br /> �Co. �-�- � <br /> Will this be a Par e of Homes, Remodelers Sho ase Home or o er Display Home? <br /> ❑ Yes No Ifyes, a special event permit is requirecl with Police Depart»ient and <br /> City Council approval 60 clays pr'ior to tl�e event. Non permitted <br /> events will not be nllowed. <br /> NAME OF OWNER � ����- PHONE: (home �� <br /> (work c��� <br /> MAILING ADDRESS: ���G�U� ��-�`�'yl�CITY: (��Lz-O_ Z . <br /> CONTRACTOR: - �"��O - PHONE: /Z — Z� <br /> CONTACT PERSO : / a� IVIOBILE/PAGE ���I�— <br /> MAILING ADDRESS: n� E_ CITY: �_ ZIP• �/3 <br /> STATE LICENSE: # C�ZO � � 1 EXPIRATION DATE: � <br /> ARCHITECT/ENGINEER: _�i(/yJ �_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: �� <br /> NAME: REGISTRATION# � <br /> (�� <br /> TYPE OF WORK: New Addition Accessory Stntcture /r <br /> Move ome Remodel/Alteration �� <br /> P�OPOSEDWORK(descr'b�in detai�• � fi7"2UG �/%� -C /T�/ <br /> �1.�-,'�'t-�- u�l �"�' / <br /> STORIES: —� SQ.FEET OF EACH FLOOR: Z�C� ��� <� W�/J�o'�'� <br /> NO. OF BEDR : <br /> •�MS � GARAGE STALLS: ATTACHE) ETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �s� <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a pez-mit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �� �I" d <br /> 9 <br />