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w <br /> Total Fee: $ � 7� Date Received: �'7-ZU-�`� <br /> Entered By: Permit#: "772�P' <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: o�s � S ,- "`��I ������ 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 approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ��A-t� t`�fl�CX 1� C/�Q�S�� PHONE• (home) <br /> � (work) <br /> MAILING ADDRESS:���S ��j�� �t/� CITY: �2P�dlD ZIP: <br /> CONTRACTOR: � /�� PHONE: CP�2- �F�a 7�/C� <br /> CONTACT PERSON: MOBILE/PAGER: Co('z-�(�c��?�d <br /> MAILING ADDRESS: ,57d�(� �lcd.�7'1�''A�.rn/1. �.CITY: ��1,`,9 ZIP: �;s� <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 /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �if/r'�c�� ��t�i� ��"" �"'� <br /> �r�.q-���c3s� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ ��Oo�o O <br /> I hereby apply for a building perxnit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conforniance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a pernut;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: � ��QJ <br /> � <br />