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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 inforniatio�i) <br /> --------------------------------------------------------------------------------------��------------------------------ <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTO�I � <br /> _r- <br /> JOB SITE ADDRESS: LZ�C) �II-v�' K� �-� � �U ��-�- R�� ZIP: <br /> Will this be a Par�de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 0 No If yes, a special everit permit is requif-ecl witli Police Depc���t�nent and City <br /> Council approval 60 clays prior to the everlt. Noiz per-mitted events will not <br /> be allowed. <br /> G �2 <br /> NAME OF OWNER: � ti,� '�t 1l r � PHONE: (home) 6G�-- �7�;t�/ <br /> � (work) <br /> MAILING ADDRESS: L'a-�G �'��,�C 1���5 �t� Q�d: CITY: (�;�Q {�p ZIP: <br /> co�v��c�ox: iA[�5�-� �- C U✓� S � PI'�ONE: 7�� Sy3 � ��'� � <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 0 73 � f4(/t� /�l, 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 /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe i�z detai�: ��U-p�� �--����� �UvSC' �� �('�� L'- <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �� (��'� <br /> I hereby apply for a building pern-ut 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 with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a pertnit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: r�/��-� �f <br />