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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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1�SO s�q�CS �v� - ZIP: <br /> Will this be a P ra e 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: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /9�'� �p�r�".� C�v�, CITY: �v�wa ZIP: <br /> CONTRACTOR: ��� ,�oli�a� ����e✓s PHONE: ��3-�Z7-Q��Z <br /> CONTACT PERSON: � MOBILE/PAGER: �i z -2 zi - 96 08 <br /> MAILING ADDRESS: /Sa � v�c�,��� �,� CITY: �✓��r/s ZIP: SS'.3/3 <br /> STATE LICENSE: # �0 3 SZ�SS <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: q����/ —��� 9L d� �6 P� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_ �.SO�� `� <br /> I hereby apply for a building permit and I acknowledge 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 a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: iG���v� . i�/K � DATE: �� l� �..� <br />