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t <br /> t <br /> 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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 4.-2 775- (A_ ) t 0 ak C, ( (-L{ ZIP: <br /> 7Will this be a Par e 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: -3T---0.,6,t_ Ll I I i k/6--L PHONE: (home) SA-nue <br /> (work) (o/c).- -3 .� 7 -7 /C 0 <br /> MAILING ADDRESS: 27 75- 7l GC CITY: (3,`" oil 0 ZIP: <br /> CONTRACTOR: ,_. .._LIL.- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER�`� .-- <br /> N--.,--..., PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: .,,`� REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration X Land Alteration <br /> PROPOSED YORK(d cribe in detail):L,,c. ew.. (`ci_ 5 GQ_.e 7 77 ii-i`t y <br /> pILA:)-ii ,o-t-i--?-. cfi x`' <br /> STORIES: SQ. FEET OF EACH FLOOR: /C 0 0 <br /> NO. OF BEDROOMS: 41 GARAGE STALLS: ATT. X DET. <br /> • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ „1S,000 <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 /> • <br /> /r <br /> APPLICANT'S SIGNATURE:-8 :L,v,1.c C� e <br /> .t-f v ,_, DATE: //O) - <br /> I/ - <br /> b 3 <br />