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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 print all informatio�z) <br /> ---------------------------------------------------------------------------------- ------ �-------------------------------- <br /> THE APPLICANT IS: (circle oiie) OWNER O ONTRACTO <br /> JOB SITE ADDRESS: �� � ��'�'r1 �'� ZIP: �5�.�� <br /> Will this be a Par e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event peYmit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non perrnitted events will not <br /> be allowed. <br /> NAME OF OWNER: ��v� �,G��E����-� PHONE: (home) 9SZ L/7.�--7�l� <br /> � � (work) <br /> MAILING ADDRESS: %y�' S,�/Z�/1 /c'C!� CITY: v�, L�,(�� ZIP: SS 3s� <br /> CONTRACTOR: ��r.l ��n� ,So�vl�ich� LL.e PHONE: 7l�3- y77-��17 <br /> CONTACTPERSON: nU� ,�� MOBILE/PAGER: (o/Z -.SSS�Oy(�S' <br /> MAILING ADDRESS: �(o sbU �Uiz f St. CITY: L�2Cl�a ZIP: SS.�ST <br /> STATE LICENSE: # ��-Z�3�`'07�2b <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� Land Alteration <br /> PROPOSED WORK(describe in detai�: (e� -�bi.�c Z ��f�i I���S <br /> ���U/71�/h /- . 4�' �/ � . 'GL <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> , <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ZS{oo�.� <br /> I hereby apply for a building pernut 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 with <br /> the approved plan. � <br /> i <br /> APPLICANT'S SIGNATURE: � � DATE: ��Z�-m� <br />