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'�"otal Fee: $ Date Received: <br /> "Entered By: Permit#: <br /> CITY OF ORONO - BUILDL�TG 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) O�VNER O NTRACTOR <br /> JOB SITE ADDRESS: ��y /�ja✓/� �p� tio�� ZIP: S S.�-� <br /> Will this be a Parade of Homes, Remodelers Sho�s-case 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: � ScLw/'�'Z� PHONE• (home) ��-�/`7'�--03.� <br /> (work) <br /> MAILING ADDRESS: `jr�/►�� CITY: ZIP: <br /> CONTRACTOR: C-��/'� ��1'X)' PHONE: �3 S�l^�-�Y <br /> CONTACT PERSON: ivJ}gy� MOBILE/PAGER: �'�aB�--y�,SS <br /> MAILING ADDRESS: -�/ �� l��`��v�CITY: �f��� 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 in detai��� • ��Cb � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE ST_-�LLS: ATT. DET. <br /> ESTIMATED CONSTRUCTIOI�' VALUATION (excluding land): $ �� �ls� <br /> I hereby apply far a building pernut and I aclrnowledge thar the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and wzth 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: �� a 6� <br />