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� , <br /> Total Fee: $ �yo - `�=� Date Received: _ G/�-��` �?� <br /> Entered By: ,�,,,� /�'�-�'=' Permit#: ,t-��,� � <br /> � �,�.,�,�-' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infornaation) <br /> ------------------------------------------------------------------------ -----=_=_====� ---------------------------- <br /> THE APPLICANT IS: (circle oire) OWNER R CONTRACTOR <br /> JOB SITF ADD�SS: ��1� -S TUC3/� S i3�}; I�'a� � ZIP: <br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event perrnit is required witlz Police Depc�r-trner�rt and Ci.ry <br /> Coirncil approval 60 days prior to tlae eve���t. Nor�peYnaitted everrts will riot <br /> be allowecl. <br /> NAME OI+ OWNER: ra� �...//�J()��y�S7' PHONE: (home)7�0 3 - 3 �l- u yo� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CON'I'RA�'i'OR: �dLl�f-Ili� ���-S P�IONE: �(� 3 "� S`�Z --�d�;c� <br /> CONTACT PERSON: � t-f��1 S ��o2��c= MOBILE/PAGER: 7G�3- 300 - �joc, j <br /> MAILING ADDRESS: ��f0 S HI w�`f f(p°1 � CITY: fJ(y�y►c�7c�f 7IP: S�"30'� <br /> STATE LICENSE: # �3C - 2c� Z Ca(P �fS"Z -� <br /> ARCHITCCT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New _� Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(descriGe iiz detai�: ��'`< <'2oL�'� Zv �`f� l�e n/� 1 L(iv��� <br /> �wi�n�t.� �i �U� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 v� �� v <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 � � DATE: �� 2d � v ( <br />