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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) ,O ER R CONTRACTOR <br /> JOB SITE ADDRESS: 2i7- W� \(C�(. ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> E Yes l] 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 1allowed. <br /> NAME OF OWNER: I, V l C COv lI J\ ll V Ct PHONE: (home) ( ( 7 <br /> c, I (work) l., ( 2 3=1/-7-- 33�Y(P6.f <br /> MAILING ADDRESS: _l '7 alOiAl ( t` ilc.cc ITY: )i-1/\ ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <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 me Land Alteration <br /> PROPOSED WORK(describe in detail): _R( kl\A O C'k CQ f' E <br /> STORIES: 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 permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: CA.A.iU ' DATE: \ 1 Z.C( / Z MI <br />