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Total Fee: $ ,'")o � �� Date Received: j'/-�� �� <br /> Entered By: ��— Permit#: ,�� ��i� <br /> CITY OF ORONO - BUILDIN�G PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all i�iformation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> 1 <br /> JOB SITE ADDRESS: ��$[�S C���� ,(��v��- � ZIP:��3�'�1( <br /> Will this be a Par e of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �. o If yes, a special event pe��mit is requiYed with Police Department a�zd City <br /> Council approvczl 60 clays pr�ior to tJze everat. Non permitted events will fiot <br /> be allowed. � <br /> NAME OF OWNER (— �C�'� ��-�-- PHONE: (home)��a ' C�?(' ��35 <br /> (work) <br /> MAILING ADDRESS: o��US ��fC� l�U.v�-+ GQt( CITY: ZIP:S��� <br /> CONTRACTOR: `H�' ✓►-�e � PHONE: �G 3-�%3�- ��uv <br /> CONTACT PERSON: � � MOBILE/PAGER: <br /> MATLING ADDRESS: C` ✓( � CITY: ' � � 7IP: S���a <br /> STATE LICENSE: # t�p �a <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 irz detai�: .�5�-� �.1 l� ��-✓ �Il-,�U�/� ti ��� <br /> �-�.�2 7 i� ��J �rz,,,,,�;-�c, /\�e�)er( <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G�___ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�S�/� ` <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 /> APPLICANT'S SIGNATURE: � DATE: ��o��� <br />