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r <br /> 7 <br /> Total Fee: $ ��• �� Date Received: �—3�—D-S� <br /> Entered By: � Permit#: _�083�1� <br /> _,,:y��';� �/1� <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 informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNER R CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: ����; � U �-5 I�ln'1+� ZIP: <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 and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER .��V / l� L �'��/�P I�G� PHONE: (home) 5 .02- .d�Z� <br /> , (work) <br /> MAILINGADDRESS: ( S 3? � � �CC� �S I O�2 CITY: ���,U C� ZIP: �53L/S <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � X � S�-r2� ct�12.Q �'� I�(u� �; <br /> 1 � CQ_��PZ r�� �� -� c�� lQ� <br /> STORIES: � SQ. FEET OF EACH FLOOR: �j U <br /> NO. OF BEDROOMS:I� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pernut 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 pernut; and that the work will be in accordance with <br /> the approved plan. <br /> �, <br /> APPLICANT'S SIGNATURE: i�_ '��� - DATE: l- 2J�—Z��� <br />