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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 i�iforr�zation) <br /> ------------------------------------------------------------------------------------ --�,-------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTORI' <br /> JOB SITE ADDRESS: a�� � C��C;� T`���-�c'�' �u.n--i1 ZIP: 5�-3 ,S� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes (� No If yes, a specic�l 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: i'�/� C � Tc-��"z 5 v t.j PHONE: (home) S ��' �7/- ��S%� <br /> � (work) <br /> MAILING ADDRESS: � oZ � �i9-s c o �"v,.�c:CITY: O•2�-.!c7 ZIP: 55 3.�S <br /> d�--l� <br /> CONTRACTOR: �Lc�c-i� �.22�'�fc�s .��I e: PHONE: S s �-- `I.,�� -5 / ��. <br /> CONTACT PERSON: ���= MOBILE/PAGER: � �� - a�Fa -5� 7� <br /> MAILING ADDRESS: � c.J . �� ,4-, �)J ITY: ��� L�t7L� ZIP: ��3 S�, <br /> STATE LICENSE: # ,�03 7 4� 3 <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 i�a detai�: � ` Grf �'��3S l�� ;�rJ� �,�7� <br /> � <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �(? O�, D C7 <br /> I hereby apply for a building permit and I aclrno edge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinan s and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: �? 13 c°� <br />