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Total Fee: $ J/</, Date Received: ����(}� <br /> Entered By: ____{�� L Permit#: _ G "75-�%:� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all iiiforfnation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDR.ESS: 3�� � C�'SC o' ��• 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 ��equirecl with Police Depc�rtment and City <br /> Council approval 60 days prior to the event. Non peY�nitted events will not <br /> be allowed. <br /> NAME OF OWNER: ���{-- �-�.e�t�L�, PHONE: (home) ��� ,�aL C> S'� <br /> (work) <br /> MAILING ADDRESS: S/�� CITY: ZIP: <br /> CONTRACTOR:IN• F �iti.. �--/.�. C��. PHONE: �7�--�S 3 �'j <br /> CONTACT PERSON: 13 L,(� MOBILE/PAGER: (.l,�. - $(o `7 — 3��7 <br /> MAILING ADDRESS: 6�g � S�. Sa�.,,.n�crs �(cIYCITY: n^ l�-,�,.�,�,�/ ZIP: ��� <br /> STATE LICENSE: # r3 a S <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �- �� � �S1}-, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�S� O G 0 <br /> I hereby apply far a building pernut and I aclaiowledge 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 pernut; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � � `� — U <br />