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� 525��-�" <br /> ' , •��'f� `��� � �. .� <br /> Total Fee: $ o� �� �� Date Received: f����� �� � �� <br /> � � �i: �.. <br /> Entered By: `�'' Permit#: 'I% i (�° �` <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�iforniatio�i) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle oi:e) OWNER O ONTRACTOR <br /> �_.._ <br /> JOB SITE ADDRESS: �`1�.� �V���=� ��N� - ZIP: <br /> Will this be a P ade of Homes, Remodelers Showcase IIome or other Display Home? <br /> ❑ Yes No If yes, a specic�l event permit is requirecl witlr� Police Depnrtrnent and City <br /> Council czpproval 60 days prior to the everzt. Non perrraitted events tivill not <br /> be allowecl. <br /> NAME OF OWNER: t,�� �N �V�`��� PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: �� �.-�1�� �--��ITY: ZIP: <br /> CONTRACTOR �—��f�'�O �(���1�`�� PHONE: ����"� �j"�'Cc� � <br /> CONTACT PERSON: � � J MOBILE/PAGER: � � -- � <br /> MAILING ADDRESS: � ' � � CITY: ���> �1� ZIP: '-ac>> >�, <br /> STATE LICENSE: # � <br /> � � <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MAILING ADDRESS: CITY: 7IP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New � Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> /� �, L <br /> PROPOSED WORK(descrihe iiz detain: ��'i�'� t�JV��� <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ f��-�� G <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City an with the State Building Code; that I <br /> understand this is not a permit and work i to start with t a permit• an at the work will be in accordance with <br /> the approved plan. i� ; <br /> /% <br /> APPLICANT'S SIGNATURE: —✓ DATE: �� � �� <br /> � <br />