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/ r . C �7 <br /> Total Fee: $ � � � -' Date Received: 4-30-D S� <br /> Entered By: ,z�� Permit#: �{O $0/7 <br /> . ,��,% �� ��/ <br /> %i <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> _-��� 1� ����,�(please print all informatio�z) <br /> � '"rk_'r� -------------------------------------------- <br /> - _______ L_________________________ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �j�l�� ��C�" � ZIP: �� <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police DepaYtment and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> Ti��� <br /> NAME OF OWNER: � . ��� PHONE: (home) 2� � 1 <br /> (work) <br /> MAILING ADDRESS: :�Z��Q��{- (..,�1-�.� CITY: ZIP: <br /> CONTRACTOR: __ �..�.J� ��'� _ PHONE: %�'�{��Z <br /> CONTACT PERSON: '��D �..,c3ti3� MOBILE/PAGER: <br /> MAILING ADDRESS: 7�-Z.�,� 3��j �S'(' CITY: So. ZIP: �Z <br /> STATE LICENSE: # � <br /> . <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> 5 i�� <br /> TYPE OF WORK: New _�_ Accessory Structure <br /> Pa�-r�.. Addition �_ Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: % � <br /> . � <br /> vJa-(�--�' T���F.,�- V �.. �, . <br /> STORIES: _� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT.� DET.�C <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���� 'r <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 and w�th the State Building Code; that I <br /> understand this is not a pernut and work is to start without a permit; and th the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: �' 8'� <br />