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� 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 information) <br /> -------------------------------------------------------------------- ------�..� ------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR� <br /> --� <br /> JOB SITE ADDRESS: s � � 7 Cf��SC� C i i2 � ziP: <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 approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ����l� R� l� IZ C PHONE: (home) y 7�` / 7� <br /> (work) <br /> MAILING ADDRESS: `�/�-i-n �-�� CITY: ZIP: <br /> � • I� S��� � PHONE:�S�- — �7� -,� -S �� <br /> CONTRACTOR: �' �( � � � . <br /> CONTACT PERSON: '��,> MOBILE/PAGER: C�i�-- $�,�— 3i� -� <br /> MAILING ADDRESS: 6 s�' S' _S�, S�,ci�r.��t�t,S� Lk D/� CITY: 1'3��n-N�-c'��i'.c�� ZIP: S s_?� z� <br /> STATE LICENSE: # �3c� 5' <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�: j��-�- v��� �L�� � `� �= �` S�' � ��c� <br /> �' ►�' S" Q,L /�1� �'��'- �m �,�-,�,3 ��- S y s <br /> � <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 pemut and I acknowledge that the information above is complete a�_d 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 wit out a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: S /� G L <br />