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, � � �' v � <br /> Total Fee: $ Date Received: � �'�� <br /> Entered By: f�r��>'. - Permit#: _ �" ����� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all iiiforrnatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�:e) OWNER OR CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: �I ��j � �.�-z ����_ZIP: ',� � 1 / <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a speciczl event permit is required with Police Department c�rad City <br /> Coun�cil approva160 days prior to the event. Non per•naitted events will not <br /> be allowed. <br /> � J <br /> NAME OF OWNER: �����'�;s �lIC��P T PHONE: (home) ��'/�. �/�'�l�� <br /> (work) <br /> MAILING ADDRESS: �/�j,s���,�,,,;�, L�CITY: /'��Z_ZIP: JSS��/ � ' <br /> � <br /> CONTRACTOR: PHONE: <br /> CONTACT PE N: OBILE/PAGER: <br /> MA ING AD RESS: CITY: ZIP: <br /> STA NSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe i�i detai�: � �' .L i6��'Q <br /> � <br /> STORIES: _� SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: y� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � „ �/�� � ��� <br /> I hereby apply for a building pemut 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 /> APPLICANT'S SIGNATURE: /' DATE: -' ^ 1� <br />