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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 /> (pleaseprint all i�ifor�natio�a) � �_,��_Z3 y,� u�,� <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �l4� �" ��`� �9S�v �;j�:��� ZIP: ' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a speciczl event perrriit is requirecl with Police Department and City <br /> Council approval 60 days prior to tlte eve�zt. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ,.ij�� //�,�,� PHONE: (homer�/�7�j3-�/'3 � <br /> (work) <br /> MAILING ADDRESS: <'�ir,,� CITY: D�oNc� ZIP: <br /> CONTRACTOR: l�c/�'S/Lf ��� PHONE: �!3-���-n��� <br /> CONTACT PERSON: �j�-;C� MOBILE/PAGER: <br /> MAILING ADDRESS: 97�j� /3rJ„��--E �� CITY: �,�,��,�,�,� ZIP: '� � <br /> STATE LICENSE: #J�� ��/S� �ll <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 i�z detai�: y��;���>� <br /> STORIES: SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $���_ ��� C� <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 /> APPLICANT'S SIGNATURE: � .� �%��`� DATE: ��}/ --. ��� <br /> � <br />