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� Total Fee: $ Date Received: / D -o�D - D� <br /> Entered By: 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�:t all information) <br /> ---- ====- -------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OR CONT CTOR <br /> ��._.. ..__-- <br /> JOB SITE ADDRESS: `J L�G C� �A z�T ZIP: ���9� <br /> Will this be a Parade omes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o If yes, a special event permit is requirec�with Police Department and City <br /> Council approval 60 days prior to the event. Non peYrnatted events wall not <br /> be allowed. <br /> NAME OF OWNER: si �z rT �+21 TI�n/ c(/ PHONE: (home)�SZ" '�7�' ��5$ <br /> (work) <br /> MAILING ADDRESS: S � .4 r� CITY: f���.�.�-,c; ZIP: SS�9� <br /> CONTRACTOR �v(JN � �7 PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/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 /> PROPOSED WORK(describe in detai�: f-i�l ��I �S /� c�� � L�olZ � /� <br /> c�{� fZ�kQ., ��L �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARA.GE STALLS: ATT. DET.�_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �/ O� <br /> I hereby apply for a building pernut 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 st 'thout a permit;a d that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: !� - Z o ' d� <br />