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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 OI�CONTRACTOZ <br /> JOB SITE ADDRESS: -270 w I 1 ` got ZIP: 55-35-a <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n Yes [ No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 clays prior to the event. Non permitted events will not <br /> be allowed.,,�j <br /> NAME OF OWNER: (2---° / ' ' I PHONE: (home) 5-z- y 73-/ 2-6 c <br /> 1,.)r i/0 gef (work) <br /> MAILING ADDRESS: 2 7 " 7.0 f'tCITY: O, )O ZIP: <br /> tk <br /> CONTRACTOR: / 1,6-1"-) Peery `� P j^,+ e �� PHONE: 73-.Z - /C6 "-2. 7 2-S{ <br /> CONTACT PERSON: e-3;e MOBILE/PAGER: 6/2 -S 7 - 7 7-/ <br /> MAILING ADDRESS: /d 2 z 4E'4 P" - CITY: �'o�f S <br /> ZIP: 5-Ic] 2 2- <br /> STATE <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 Land Alteration <br /> PROPOSED WORK(describe in detail): J / <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 0-0 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 5; 44° <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: 2 �� �/ <br />