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i , . <br /> Total Fee: $ o�l�• �� Date Received: I �//�S� <br /> Entered By: /� Permit#: /���,.�_�� <br /> CITY OF ORONO - BUILDIN�G PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I O�� �_���>�..r��:c.� I�-�--i.S � ZIP: 5��� ( <br /> Will this be a Para e of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o If yes, a special event per�nit is ��equired with Police Department and City <br /> Council approval 60�lays prior to tl��e everit. Nofi pern�iittecl events will not <br /> be allowed. <br /> NAME OF OWNER: .��� ��j'^�-ti5�� PHON�: (home�S �— ''��3 `-1-1`�,a <br /> (work) <br /> MAILINGADDRESS: ��S" �1������� ��'w�-� ,�z,�ITY: �,�z,��y ZIP: ��3� <br /> CONTRACTOR: V A�+7�+dL '�` ��'�--�t'�-� , � Nc- PHONE: (v IZ -"1 Z`; - i ci`��`� <br /> CONTACT PERSON: ��� MOBILE/PAGER: C�1 z - 2z � - 2-Z �� <br /> MAILING ADDRESS: Z�j 1�d � �2 r=' � CITY: ��` 4 ZIP: � � � <br /> STATE LICENSE: # � l��`� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration � Land Alteration ' <br /> PROPOSED WORK(describe i►z detai�: �"�t~� ���� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �— <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �2— , m �� <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 is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: y `t �S <br />