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� <br /> e�.d0�F <br /> Total Fee: $ �D D/.93 Date Received: � � <br /> Entered By: /�� Permit#: i9 6 733ro <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 information) <br /> THE APPLICANT IS: (circle on�-"`"OWNER OR CONTRACTOR -� <br /> JOB SITE ADDRESS: ���,7-� � �,Zy„-��,��, ;, �,� w �, .����,,,Q ZIP: 'SS��',jo_ <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 approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER:�� `r 0. �-. �, oSS PHONE: (home�'�� y�i�,-�3�g <br /> (work) <br /> MAILING ADDRESS: �C'� 'n�,Y,� ;�, . , �. CITY: l�o�. - ZIP: c-, S � <br /> �;v <br /> CONTRACTOR: —T',��,,� C, rr� s� PHONE: ��Z� �I�(� - �'-33R <br /> CONTACT PERSOI�—�'� ��� � MOBILE/PAGER �37 u 3�.�� q2 <br /> MAILING ADDRESS: 7(L3 5 �';��n-� r„ „c��r 'vvCITY: i� - ZIP: ti� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEE� 1 � c �� � � PHONE:��(��3� 24 q �<���J <br /> MAILING ADDRESS: -�. �' �, ,� . CI : �I��,.��,-�,�ti��ZIP: �5�u�+�- <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition �� Move <br /> RemodeVAltera�ion�� Land Alteration <br /> , <br /> PROPOSED WORK(describe in detai�: ( Z x I�", ��--����;,� <ZQ� ,-�:�.� } --�-� ��;��'���� <br /> _ k:�� �,.��, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�j �� <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 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 /> �----_.__. <br /> APPLICANT'S SIGNATURE: �. ��� DATE: � � <br />