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Total Fee: $ � �4 " 3 g Date Received: �-2 I-Oy <br /> Entered By: Permit#: �'D 7�0�/ <br /> �l� LrN s S �-I -.Z�1 <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 ONTRACTO <br /> JOB SITE �DDRESS: 2� � U �-e ���c /�- ZIP: $�� 9 / <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 Ciry <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: lJ � l l��"'�a v' PHONE: (home) <br /> MAILING ADDRESS: � � �{ c� (�'ork) <br /> `��1���- CITY: �ra�-L-U ZIP: �g <br /> CONTRACTOR: ��t�►, bQ�� C a pHpNE; ��7 j,—v,S 3 -Z <br /> CONTACT PERSON: -�c'��= c� MOBILE/PAGER: 2 S� '7 c�c�� <br /> MAILING ADDRESS: _��1�/ S��re (r,,.P �-- CITY: �r l� ZIP: _-� <br /> STATE LICENSE: # �� y <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�: �� `��-� �2��.� <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �f�, oav <br /> � � <br /> I hereby apply for a building permit 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 start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: � Z� <br />