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Total Fee: $ o(4 `1 2J Date Received: 140 -ILIO y <br /> Entered By: Permit#: <br /> t� 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) 6� <br /> ----------------------------- --------------------------------------- ----- ------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTOR <br /> JOB SITE ADDRESS: /�'0)� iNi cv ;,F. S . ZIP: �j 3?1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q 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 /> NAAIE OF OWNER: 1 '1 1 SPEti`C`-a- PHONE: (home) 9sO �473 <br /> (work) <br /> MAILING ADDRESS: /EOI- oweI ee- ?K S. CITY• c) X-Vwa ZIP: T'3`3i <br /> CONTRACTOR: J( GN 16U i L� PHONE: -7f 2-1�/Ulf <br /> CONTACT PERSON: b4lA-tJ )ArfL- iV10BILE/PAGER: 6- Z 3&(, qZ(-(o <br /> MAILING ADDRESS: Zl rf CITY: ZIP: s s 31 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: j4m, Aftlll,vt' PHONE: 76 3 7Y� 6o&j <br /> MAILING ADDRESS: 93),q c'c��vn41z ,¢,, Nc . CITY: ��At- 4C:14, ZIP: -5-3N-32- <br /> NAME: �c✓A) t'c,i-I L4 REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure X <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): r L t <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /jo <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: <br /> DATE: <br />