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Total Fee: $ Date Received: j=�- -�y <br /> Entered 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 print all informatio�t) <br /> -----------------------------------------------------------------------------------R=—� -- ---------------------- <br /> THE APPLICANT IS: (circ[e one) OWNER OR:CONTRACTO� <br /> JOB SITE ADDRESS: �� �/� ��� S' f ZIP: <br /> Will this be a Par o�Homes, Remodelers Showcase Home or other Displa�- Home? <br /> ❑ Yes ' No If yes, a special event permit is reqt�ired with Police Department and City <br /> Council approval 60 days prior to the event. .�on permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ��'C, �' /� ��i`��,G �,-'f- PHO\"E: (home) <br /> (work) <br /> MAILING ADDRESS: ,��' �,�-- �;� S'f CITY: ��r�=��-i ZIP: <br /> CONTRACTOR: �-f�/S�i�i � �=1�� <br /> �=�7/' � PHO\-E: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: yl / 73��� >v CITY: /j�,r�-/l/�_ZIP: 5;5 fi��'' <br /> STATE LICENSE: # 3 „Z �7 `',� <br /> ARCHITECT/ENGINEER: PHO\�E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIO�t # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Nlove <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ���J/<< �,{,�;j��/G��,S' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � lr�� <br /> I hereby appiy 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«�ork«-ill be in accordance with <br /> the approved plan. <br /> � � � <br /> APPLICANT'S SIGNATURE:l� - D aTE: �— .� " c�� <br /> �,,- ✓. <br />