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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,_.QIR CONTRACTOR <br /> JOB SITE ADDRESS: //(6 Gi/,`lCe �, ��-s/ ye . ZIP: tlftibek 0 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n Yes -o 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: \,e e. s/lit VSs PHONE: (home) (I7. -7 <br /> (work) <br /> MAILING ADDRESS: -S .- CITY: ZIP: <br /> CONTRACTOR: Pa-Sv,.` 0461 le PHONE: <br /> 9 <br /> CONTACT PERSON: d JcJ MOBILE/PAGER: -,r J, 7_53-- <br /> MAILING <br /> .3-- <br /> MAILING ADDRESS: / e c rl or ,IL 6 •� ji • CITY: A.—r , ,U ZIP: 5-5-33-7 <br /> STATE LICENSE: # 003041 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): /6. f 0of <br /> STORIES: SQ. FEET OF EACH FLOOR: 0 a <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �b <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".ithout a permit; and that the work will be in accordance with <br /> the approved plan. '1 <br /> APPLICANT'S SIGNATURE: �f___ DATE: �a <br />