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� -��. , ^ � C ` <br /> , � �� _ ,�� _ <br /> ,� , �� <br /> � Total Fee: $ �'k � t _� `�' Date Received: � '�J '� > <br /> Entered By: �� �'L. � � Permit#: ,� ; ��,' �� �,�` <br /> , ��� � <br /> CITY OF ORONO - BUIL ING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all information) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> ,.___ <br /> THE APPLICANT IS: (circle one)<OWNER O�CONTRACTOR <br /> JOB SITE ADDRESS: �Col � �S�� ('ai�T IZ��D ZIP: �S�`� 1 <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 ancl City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ���- U�C�ST/Zo� PHONE: (home) G�S�- L/7`l- N�ti� <br /> (work) �i�- .�5� -�So� <br /> MAILING ADDRESS: ;�?���7a G�-t��vc� Diz CITY: �,�z`L�Lti�:�'v ZIP: SS3�� <br /> CONTRACTOR: � l � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # �"� <br /> � <br /> L�` <br /> r`' �, l.� <br /> ARCHITECT/ENGINEER: INI�} PHONE: � � :a�� <br /> MAILING ADDRESS: CITY: ZIP: ;)�� <br /> NAME: REGISTRATION # T ,�'���� <br /> TYPE OF WORK: New �C Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detain: N C-(�� (-i aM i� <br /> i sr rc�,�,,L �c��73 <br /> STORIES: � SQ. FEET OF EACH FLOOR: �tib �'LL��.;z I�11�� � (35��r-r l:�o� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT.�_ DET. �lu�St��� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �-(oo, ooc� <br /> I hereby apply for a building permit 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 permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. � ___. <br /> <---- <br /> _____ <br /> APPLICANT'S SIGNATURE: — DATE: .�' � �oS <br />