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1 , . <br /> 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: CSS 0,1 lyu-) �I\X �j ZIP: <br /> Will this be a P ra a of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ 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: A , e1L PHONE: (home) c7SZ- q <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: C��-- 11� U� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 1 CITY: _�5 ZIP: 5 <br /> STATE LICENSE: # 202-z <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 11 Land Alteration <br /> PROPOSED WORK(describe in detail): 6e-- " Z lJc�3d <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 c des of the Ci and with the State Building Code; that I <br /> understand this is not a permit and work is not to start thou ; d that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z <br />