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Total Fee: $ Date Received: <br /> F�ntered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie��• will be started. <br /> (please pri�:t all information) <br /> ----------------------------------------------------------------------------------------- --' <br /> ------------------------------ <br /> THE APPLICANT IS: (circle one) O�'NER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��I� J �� r��'�`�J� �'�:�-- �� �+��J ZIP: S�� I � <br /> Will this be a P r de of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and Ciry <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> � � <br /> NAMEOFOWNER: �I�'� 11�A[`K��,��� PHOti�E: (home) 5a y7� � ��L� <br /> (work) <br /> MAILING ADDRESS: �� �� �c������� ���- CITY: �� � I'\� ZIP: � 3� <br /> CONTRACTOR: C��?, c�\`�� ��`�r�G' PHO\E: � � � ��� !/JJS� <br /> CONTACT PERSON: � � `5�.�� MOBILE/PAGER: <br /> MAILING ADDRESS: �`3���� � � S� CITY:�� � �`�`,.� ZIP: 5�� <br /> STATE LICENSE: # o�603 � <br /> ARCHITECT/ENGINEER: PHO\E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> r� <br /> PROPOSED `VORK(describe in detain: �Z�o�;.� �C_��,���,,r�c, C ��� 1 , r��,T��>\� C1�:� � <br /> , <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �rYo �� 6� <br /> I hereby apply for a building permit 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 � ot to start w•ithout a pernut; and that the«�ork w-i11 be in accordance with <br /> the approved plan. ,�'� <br /> APPLICANT'S SIGNATURE: � D:�TE: �� � J � <br />