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Total Fee: $ Date Received: D 5 <br /> Entered By: Permit#: --A <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: (((tuIrtle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: C � 'L\ � 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 permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ;0q:i" a PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: I&' C W Nv r_rr-,� V—'t> CITY: ZIP: <br /> CONTRACTOR: PHONE:''N tiz -`��► I ,(,a-� iv i <br /> CONTACT PERSON: MOBILE/PAGER: (-,('2 Z40 - l-, <br /> MAILING ADDRESS: (,44::3 ( ZIP: j,_4 4--ie .5 <br /> STATE LICENSE: # '-I b <4 <br /> ARCHITECT/ENGINEER: LL lcf�' Grp a PHONE: I S c►� <br /> MAILING ADDRESS: 6401 w �a _ �;/ CITY: is « t~ZIP: � Zv <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition _ Move <br /> Remodel/Alteration Land Alteration <br /> P POSED WORK(describe in detail): fL a 1,-a C,� y- �v <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `, 1 `4- , Z c , <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; tb <br /> understand this is not a permit and work is not to start without a rmit; and that the work will be in accord <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: - / DATE: Z 6 <br /> U _ <br />