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r � ` <br /> . ' � � C/ <br /> Total Fee: $ ��l0, b� ����1/� �� Date Received: �o�� �b <br /> Entered By: � � �Permit#: �( �� (�� <br /> C��"°� .� <br /> CITY ORONO - BiTII..DING`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: /����1� �• ZIP: �JJ� � <br /> Will this be a Parade of Homes,Remodelers Showcase FIome or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police DepaYtment and City <br /> Council app�oval 60 days prioY to the event. Non pennitted events will not <br /> be allowed. <br /> r y"12�Z 3g'2- <br /> NAME OF OWNER:�� ��CC�j l�� PHONE: (home) '� - <br /> (work) �j � � <br /> MAILING ADDRESS: f 2�� ��� � - CITY: O/l� ZIP: �'��� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ��� ��f`t�l�%�@f� PHONE: �2`" �`7� ` Z�j��, <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(descYibe in detai�: e..�,, CO/1.�'Li�a✓i � c�s-� <br /> ,z� / � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION(egcluding land): $ �,Oz�'o � <br /> � <br /> I hereby apply for a building permit and I aclrnowledge 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 pernut 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: �� ' <br />