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� <br /> � Total Fee: $ Date Received: /�D f���� � <br /> Entered By: Permit#: _�9 /��t/ <br /> CI�'Y OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�iformatioii) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��/ �I�CIC�.�Y'y y ���1. LO��c� �� �1r7 ZIP: �.7..�.�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, cz special evertt per»iit is requir-ed with Police Depai�tment ar�d City <br /> Council approval 60 days pf-ior to the event. Non per�yiitted everzts will not <br /> be allowed. <br /> r ,� (/,,,j �U/ •9�n� <br /> NAME OF OWNER: /"/iL'I7 �-E'� � �L'Q61�L'r� �uhr�r���HONE: (home) <br /> (work) '�L.�.� �T>� 6�1��.� <br /> MAILING ADDRESS: ��� /��,f2�,�h� l�l% CITY: ��a r �� ZIP: �- <br /> ,53��� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: 7IP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure � <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �/''� ��(-�%f' ��U/c��� ��17L�� <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> F� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,S <br /> 1 <br /> I hereby apply for a building pernut and I aclmowledge 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: �L�L�„�I � DATE: � � �I" ��� � <br /> c-7- <br /> � <br />