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, �``�°� '1/.�p� �� c�2SCo <br /> �^ S.�`�_� <br /> h:� <br /> Total Fee: $ J�/�O• 5 � Date Received: ��" '�j <br /> Entered By: , Permit#: ZZZ <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 infor»iatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 �{� S�� � ��/2� -l'-� S%Zi`Z� i�l�L ZIP: ���/� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,�, No If yes, a speciczl everit peri�zit is requii�ed with Police Depaj�tmelzt arid City <br /> Counci�l app�°ol�al 60 days prior to tlze eve�zt. Non per�mitte�l eve�zts will not <br /> be allowed. <br /> NAME OF OWNER: ,����'��ti��S Y��'��/C��l ,�G(e �" PHON�: (home} l���l-7 6 �� <br /> �/ (work) <br /> MAILING ADDRESS: �� �`J��'L�v/i'���S���>���ITY: Cc� � �i� ";/t ZIP: ��.3 <br /> CONTRACTOR: ��f ti���� PHONE: ��� �7f�`7 � �� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 7IP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> ..������ �,�e.-�1- D�-f—3Cj�� C...,�=< <F.,�--�;�� <br /> TYPE OF WORK: New Accessory Structure � <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe i�a detain: /1'1�'��� 6���"`j� ' ��-/� 9� (�/�-,�.D <br /> � C/Yl ��r� J �f�' � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ !. .� � ='� � <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 permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. � <br /> 9 �j (� <br /> APPLICANT'S SIGNATURE: ` � � � ��%� DATE: �l'��-�T <br />