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' �ZZ S3 �°� �' ( a(� <br /> Total Fee: $ �j Date Recerved: ,� / ( <br /> Entea-ed By: Permit#: � ��-= '"' <br /> f. <br /> . ���'., 4 ;� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan re�iew will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE OR CONTR�CTOR <br /> JOB SITE ADDRESS: �'���� � N`���4' L� ZIp; �5� S,� <br /> Will this be a Pa de of Homes, Remodelers Sho��•case Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is reqaiired with Police Department and City <br /> Council approva160 days prior to the ei�ent. Non permitted events will not <br /> be allowed. <br /> � <br /> NAME OF OWNER�. .��, ��� �� ���Tt�-St���% PHONE: (home �5a� � C •- �y� <br /> (work) ��� p.__ � "ZZ <br /> MAILING ADDRESS: ��f�"; M+��-� �`��'` CITY• U��U� ZIP• �S 3;� <br /> CONTR�CTOR: PHONE: <br /> CONTACT PERSON: MOBILElP�GER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �.�_ Q r-T�p�-�-� PHONE: 6 �v�� ��(- 3 f 3 <br /> MAILING ADDRESS: (�!�3� 5'K�v►-�2 �f-�'�= N CITY: �.�q,,..p(,�,.,, ZIP: S�3� <br /> NAI�TE: REGISTRATION# <br /> TXPE OF`�ORK: New Accessor�- Structure <br /> Addition 1( Move � <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �QC�f v� ��z�lL��,�2�b� � U; ,���,„�s� f��>��rL <br /> —� <br /> �cQ1�= x+ c�,:,sr� `Cvc.,� l �r��r�c,l,� C�c2� r�� �r,��+�Sz�.O .�, -• ,pl�� �;;r-'> f ' - - <br /> ,,- <br /> � ; ,,� �;1��;,�v�, <br /> STORIES: �- SQ. FEET OF EACH FLOOR: ��c�� <br /> NO. OF BEDROOMS: �_ G_�RAGE STAI,LS: ATT. � DET. <br /> ESTI�LATED CONSTRUCTION VAI.UATION (excluding land): S /S, OOQ <br /> I hereby apply far a building permit and I ac�nowledge that the information abo��e is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and w-ith the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a pernut;and that the work will be in accordance with <br /> the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: _� DATE: O' <br /> � <br />