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7oEa1 Fee: $ Date Received: <br /> ' Entered By: Permit#: <br /> CITY OF ORONO - BUII.DING PERNIIT 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 R CONTRACTOR <br /> JOB SITE ADDRESS: � �`�� (,o wlo, �i� � Zip; 5S3(g�--� <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: � tn� ��.SUC�S'�ci PHONE: (home)qSo�',�`U���p�j <br /> 1 (work) <br /> MAILING ADDRESS: j a-�[C� �,�L�'►�.t�h � • CITY: _�j y�v I•�b ZIP: ___�� <br /> � <br /> CONTRACTOR: ��� � O� PHONE: � ��S 'Le/�� <br /> CONTACT PERSON: � ,., MOBILE/PAGER: • a-� �LQ � <br /> MAILING ADDRESS:CA��� b ' CITY: . ZIP: � � <br /> STATE LICENSE: # �I o�C��� <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�: — � � � �- �-- <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 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 pernut;and that the work a-ill be in accordance with <br /> the approved plan. -- <br /> � <br /> APPLICANT'S SIGNATURE: DATE: f(, •1� 'v� <br />