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, . <br /> Tota( Fee: $ Date Received: �j -��U'� <br /> Entered By: '�L Permit#: `-�Q 7� ��?, <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 i�cfornaatio�t) <br /> --------------------------------------------------------------------- <br /> --- -_�_`--------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNER OR�_RAC__�I� <br /> JOB SITE ADDRESS: /l��i � � 1 � ZIP: ����� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event perrnit is reqarir-ed wit1� Police Depart�nerrt ar�d Crry <br /> Coztri�cil approval 60 d�rys prior to the event. Non�pern�titted events will not <br /> be allowecl. <br /> NAME OF OWNCR: G PHONE: (home)�S 2 � �/,�s� 3�p� <br /> /� / � (work) S�S�- U�� - i{ooa <br /> �� -'V�� CITY: l�,i �r <br /> MAILING ADDRESS: '� �S� ��i�1 a e ��k ZIP: S' ' ,s?/ <br /> CONri'RAC'i'OR:f�, ,�J, L,1..��r�-���"��h�._ ,�,�. PHONE: ���- 1/7.S - .�%�s. <br /> CONTACT PERSON: � i�vt ` �r:h�,-� MOBILE/ : �/� --��s -G l�y <br /> MAILING ADDRESS: / 7 �is' 1',� � .�i// CITY: v� 7IP: .S".s � <br /> STATE LICENSE: # � �� ��sy y� <br /> ARCHITCCT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration�� Land Alteration <br /> PR POSED WORK describe i�z detai : �Cc-/�o' . ''^ � � <br /> �,j ( � /-c�r-fl „!'. ;G�.s,�// .L� <br /> S d�i� � �� �9 �Qi-�Z c� G �Pn C o �,; .�_ <br /> STORIES: �_ � SQ. FEET OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: . GARAGE STALLS: ATT. G'�� DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �� �jp, � <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: �,2 v� G y <br /> � <br />