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! �-�7��s�a-�✓ <br /> Total Fee: $ �(7. `]� Date Received: <br /> � Entered By: ,,��2 Permit#: � �� 7 '�� j <br /> CITY OF ORONO - BUILDING PER�fIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------�---�------ ---------------------------------- --- <br /> THE APPLICANT IS: (circle one) WNER�R CO�iTRACTOR <br /> �- <br /> JOB SITE ADDRESS: � .� �; s:" t'> �=a',✓ 1�. � �J C� �: ZIP: �" � `=t �' <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 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: �t U��C:. � \. 1� b4 E:.,L� PHONE: (home)��i-'�7 r��' ��' �"`'�'=�` <br /> (work) _� 1�,� ���-3" 9�$v <br /> MAILING ADDRESS: � i �l �L/ t;,�-{ !�1\S�4.tt N L� CITY: ��S� �'. ZIP: S�_S�A lo <br /> CONTRACTOR: `,;� .?�_ �L ti �:.��; � t� PHONE: , <br /> � >1 �+ -� � ��� �,. `�' <br /> CONTACT PERSON: _1�� f� � ,� � c <<�c�:S�� MOBILE/PAGER: ;��.,_z�� ��� � -7�; �;_- <br /> MAILING ADDRESS: �?.��; � �t l ��t�3`t ��j;�:>,.,, CITY: �,�,/�' ZIP: �S� s�� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: '- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition 11�1o�-e <br /> RemodeUAlteration k Land Alteration <br /> PROPOSED WORK(describe in detai�: � r� ;�� ��- �� �r �- .� Z" `� ; � � <br /> STORIES: = SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. �.� DET. <br /> C'JV'" " <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 ;���� � <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 pernut and work is not to start without a permit;and that the work will be in accordance v��ith <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />