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Total Fee: $ (,P�•(� Date Received: ��"/�' �7` <br /> Entered By: �!� Permit#: D8/83 <br /> 1 �9� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �`1,��A All information must be submitted in full before plan review will be started. <br /> (please pri�zt all information) <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: ��� ��V L�- C7ST�� �U� ZIp; S�) � � <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: �VL���1�C��(' ��i Iw�,�PHONE: (hom �52� `T �I� "3�'�� <br /> (work) <br /> MAILINGADDRESS: �SOg �,ULh-C�S�j'� �� CITY: fivr f�1",fl- ZIP: 3ei � <br /> CONTRACTOR: l,�I���T1[�-1JI,YL C� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER:�C9�Z. �G� - (6 C1( <br /> MAILINGADDRESS: ,� 1'�'i� 1�'S A-�olJ�: 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 I / Move <br /> Remodel/Alteration V Land Alteration <br /> PROPOSED WORK(describe in detai�: p�1(`�`�l� ���5 � ��- ���`7�- <br /> 0►' � �Inh(,P <br /> STORIES: L SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l��� �— <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 no without a permit;and at the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE:' � DATE: 1 l �S G y <br />