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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: 7 t d tel/ hr fe Oqk ZIP: Cj � -)] (� <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: Lei + �f� I I PHONE: (home) 452-oy-gag D <br /> ( � � (work) <br /> 1,(-MAILING ADDRESS: Y 71,(- W <br /> Q ' � a k CITY: ZIP: <br /> CONTRACTOR: f S PQ c F x nf e 5 5 PHONE: 9 = g = �C 0 <br /> CONTACT PERSON: Pq,tee k f r 4 ' I MOBILE/PAGER: (p C)-U U ( 3 <br /> MAILING ADDRESS: ( O 41 f 4 3 rovi 5•f CITY: jN,c ti f v,` ( c ZIP: <br /> STATE LICENSE: # 0 '3 ( "5 0 7 <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): Li , i„, r e p ta c e <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Lt GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ) 0 0 0, <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: (— " 0 1.1 <br />