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� Tota3 Fee: $ ,�j7 � �0 Date Received: �7-t��� <br /> Entered By: 1��-- Permit#: ��� 7�D � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � �� <br /> ���'\ All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�ifori�zation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � ��� C�� � S7�` ZIP: <br /> Will this be a Parade of IIomes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Depc�rtment afid City <br /> Council approval 60 days pf�ior to the event. Non permitted events will not <br /> be allowed. <br /> ��3 <br /> NAME OF OWNER:�l�l �`1d�� �/ ��c�i�?�': �s�7�S PHONE: (home) 5'S � 4'2 y/ <br /> work) �%/Z �_�y�i'� '��`"/� <br /> MAILING ADDRESS: �CGO ,���jkS`;'��l�� � CITY:/�1y�y��-�j, ZIP: S`�'�'Y� <br /> CONTRACTOR: ��l ���'� 1c�• o.'.,'r- PHONE: <br /> CONTACT PERSON: L r�o ,� .<� �?� �;' 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 /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: i"N ry�pa ii�r i�'ID��e�i1� r�f��5' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2'�0�"`" P�. t�,�,,�J°a <br /> I hereby apply for a building pernut 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 permit and work is t to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> � ' <br /> APPLICANT'S SIGNATURE• �� DATE:� � �` � <br />