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`�'�^��D� Date Received:� -/C� <br /> Total Fee: $ •`�� _��,,��� � <br /> Entered By: (;'�1'T- Permit#: <br /> CITY OF ORONO - BL'ILDING PERMIT APPLIC:�TION <br /> All info�•mation must be subinitted in full before p[an review will be started. <br /> (please print all informatiorT) <br /> ------------------------- <br /> -------------------------------------------- <br /> --------------------------------- <br /> THE APPLICANT IS: (circle o�ze) WNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �-s���a �" �v ZIP: _ �� 1 <br /> `'�'i11 this be a Parade of Hoznes, Rem,odelers Showcase Home or other Display Home? <br /> ❑ Yes [� No Xf yes, a special event permit is requiretl with Po!ice Depc�Ytment and City <br /> Council approva160 days prior to the event. 1�'on permitted events �vill not <br /> be allotived. <br /> NAME OF OWNER: �n�'�� ��' �� PHONE: (home)Q�'2�`fa/-?`)�� <br /> (work} ��z.- �f��- �O r a <br /> MAILING ADDRESS: �L���C> E�- 7= �D CITY: _f����_ZIP: �3�! <br /> COIV'TRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: � ____ <br /> STATE LICENSE: # <br /> ARCHITECT/ENGIIV'EER: PHONE: <br /> MAILING ADDRESS: CITY: ZTP: <br /> NAME: REGISTRATIOPI # <br /> TYPE OF WORK: New Accessory Structure <br /> Additio�n � Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe i�: detail}: !��l� ��� ,��r�c�L� _ <br /> STORIES: / SQ. FEET OF EACH FLOOR: �2'�L— <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATT. �"""� DET. �'`""" <br /> ESTIMATED CONSTRUCTION VALUATION {excluding land): $ ��� • �� � <br /> I hereby apply for a b�ailding permit and I aclmowledge that the information ahove is cucnplete anc�accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with th+. State Building Code; that I <br /> understand this is not a pexmit and work is not to start without a permit; and that the wark will be in accordance with <br /> the appraved plan. <br /> APPLICA�'T'S SIGNATURE: DA�CE: � �� p � <br />