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Total Fee: $ Date Received: <br /> Eutered By: Permit#: <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 information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: .�� /'1y���w��� �/�' ZIP: _,��� <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 approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: � �,/ �So nl PHONE: (home)�sa- ¢�j-o��/ <br /> (work) <br /> MAILING ADDRESS: 30 ,iRj���/�v� CITY: �o�/o ZIP: �� <br /> CONTRACTOR: /c/C S�4,�- „J PHONE: 76�S9/D��� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: oo v��✓ CITY: ,�/��.�Tl ZIP: sS��/ <br /> STATE LICENSE: #�c�o/S SS� <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 detain: ���'�o� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � O,S8 00 <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 pernut and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE::�������;���� DATE: 1���% <br />