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r ��` <br /> Total Fee: S �� r Date Received: hl/w <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: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Para of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YesNo If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: -�. 3 PHONE: (home) <br /> (w rk) <br /> MAILING ADDRESS: D CITY: ZIP: <br /> CONTRACTOR: 0PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: U(?- 2Z:2 <br /> MAILING ADDRESS: 0 CITY: -ZIP: / <br /> STATE LICENSE: # <br /> (-CR J C C Sec <br /> ARCHITECT/ENGINEER: O&KL 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 /> PR,PPOSE8 WORK(describe ` detail): V L - ?) (L' <br /> JJ Aj V Pot <br /> 3 <br /> ,(F Ut) <br /> STORIES: r � SJFEET OF EACHMOOR: <br /> NO. OF BEDROOMS: _Rf GARAGE STALLS: ATT._ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 21)r 6b-O <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: t6l�lbj <br />