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ji <br /> �otal Fee: $ Date Received: <br /> Entered By: Permit#: y 03 <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: i->t0 V 1�-2. 0� Po ZIP: <br /> Will this be a Parade 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 approval 60 days prior to the event. Non permined events will not <br /> be allowed. <br /> NAME OF OWNER: 1Dk C\& 0"1V'\0 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: _]�4 +�e (�`�C t_ CITY: (yLA jn ZIP: <br /> CONTRACTOR: C ll PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: (01-7 <br /> MAILING ADDRESS: CITY: 2e, ZIP: g l <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 /> Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): apQ,G_cjjT � �? - t a u <br /> STORIES: I- 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 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 p t;and that the work will be in accordance with <br /> the approved plan. r� <br /> APPLICANT'S SIGNATURE: DATE: `b Ja <br />