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� <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 pYi�at all infor��iatior�) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 12^7� /-�2��r S� ZIP: SS3�'( � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event permit is required witlz Police Department and City <br /> Council approval 60 c�ays prior to the event. Non pe�nitted events will not <br /> be czllowed. <br /> NAME OF OWNER: ^.l c�r� � �e.c� �-e�c'�V� PHONE: (home) 9'S 2"Ll�3�3 y QI� <br /> (work) <br /> MAILING ADDRESS: (Z ^]O �r�o�(' � CITY: t.e� �Z�e �ZIP: s��� <br /> co�r�a�e�o�a: -�� �o M s►e� ��o�r�: �7�3--`f 7�i -�� �Z- <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 /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe i�a detai�: e. � �1� �S 1 ir����I�� � <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 codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to without a permit;and that the ork will be in accordance with <br /> the approved plan. -- <br /> APPLICANT'S SIGNATURE: � DATE: /� � 2�ro� <br />