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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 R CONTRACTOR <br /> JOB SITE ADDRESS: (o HAW Vt, ( LL ZIP: S�3C,L( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Ni 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: 9(4 �-�Q v�h.e 5 e-)S( PHONE: (home)9S,)-q-7,z- 6 Vcj`S <br /> (work) <br /> MAILING ADDRESS: ���(�� V �cc Ja/!ITY: d r - ZIP: 5c.;-- <br /> CONTRACTOR: <br /> (CONTRACTOR: °>!�% �,,y s 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 v' Land Alteration <br /> PROPOSED WORK(describe in detail): ���� Vt. <br /> STORIES: ( SQ. FEET OF EACH FLOOR: it 0 0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � j 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: ;,�ir _ _ DATE: Sf —��` <br />