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� . � <br /> Total Fee: $ � � a ��� Date Receive • � Z Z l U� <br /> Entered By: Permit#: �Q'U S � <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 information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �SCov —�v y �� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [� No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �u✓'y C��-�S'��� S� � PHONE: (home) if�� "�lS� <br /> (work) <br /> MAILING ADDRESS: �S � v ���1 2-- CITY: �l'c� L•.v ZIP: S��� / <br /> / <br /> CONTRACTOR: L� ��c u- G�-ef�� CC) PHONE: ��/— o s'3 2 <br /> CONTACT PERSON: -e r 1= ti MOBILE/PAGER: 2,�-U 7�v '7 �y <br /> MAILING ADDRESS: �" /CJ o✓` /r`�,.e �- CITY: 5 r ZIP: �'��5/ <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 t/ Land Alteration <br /> PROPOSED WORK(describe in detai�: 11� eS��� + l��N pew c�� o -� <br /> STORIES: Z SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Z. <br /> GJ <br /> ESTIMATED CONSTRUCTION VALUATION (ezcluding land): $��dd <br /> I hereby apply 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 perrnit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'5 SIGNATURE: :DATE: �Z/ 4 5� <br />