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� <br /> Total Fee: $ S� �171'�2 C.��� Date Received: <br /> Entered By: Permit#: , (�,�' C <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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS:�_� ���(�CI ��� �('� , ZIP: <br /> ��"- <br /> Will this be a Par de of Homes,Remodelers Showcase Home or other Display Home? <br /> � Yes .�No If yes, a special event permit is reguired with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER:�OYY�S l�S 1�.I� PHONE: (home)��S-�S� <br /> (work) <br /> MAILING ADDRESS: � �d �_CITY: (7r��i(�O ZIP: 53 I <br /> CONTRACTOR: �p,.rloc.k- Frer,c.l„ '�,Zc��,r,G PHONE: l��a-�aa-��a� <br /> CONTACT PERSON: r .- OBILE/PAGER: <br /> MAILING ADDRESS:a�7� � . ��!�S , CITY: 11'��_ZIP: ��u�`�p <br /> STATE LICENSE: # '�,C- 1�-1a-"� EXPIRATIUN DATE: 3-,3�-0(p <br /> ARCHITECT/ENGINEER: �,I C� PHONE: <br /> MAILING ADDRESS: —�- C1TY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition Move Home <br /> Remodel/Alteration � <br /> PROPOSED WORK (describe in detai�: QW �r -�� <br /> `�1 ? <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� ,y7C� .(�(� <br /> I l�ereby apply for a building permit and I acknowlcdge that the iilformation above is complete and accurate;that the <br /> work will be in confonnance 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 /> APPLICANT'S SIGNATURE: � �r� � �� �,�.{�� DATE: L�' l� '� <br />