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Total Fee: $ Date Received: <br /> Entered 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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> --�—_ —. <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTO�` <br /> JOB SITE ADDRESS: �Z Z� (�}..�,<< ,,�� (�;,,�_ 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: �� bu��- �;��`c_ PHONE: (home) <br /> (work) l�r z� L-��_5'--��3�,( <br /> MAILING ADDRESS: 3LZc ����T� f�,�� CITY: i'�• ���:�_ ZIP: <br /> CONTRACTOR: �� �-'�" -� c c� �ti L PHONE: ��.^I Z � Z�o a `7G � Z <br /> CONTACT PERSON: t�.�?� '��,�,�b lo,---, MOBILE/PAGER: <br /> MAILING ADDRESS: ,S,z o Ybc,c,�►��� ��-�,-�-- CITY: �-z:l c�r,t (,t:.((� ZIP: SS y Z,� <br /> STATE LICENSE: # �0 3� -7 �3 � <br /> ,---_ <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 WORI�(describe in�d/ etai�: �s� l� � �5 1x-,� �c,,c �--�F' � v w-��- .cSe-�'�fY!'� <br /> ✓t'i� �-r� �''L..�K(„`LrC.CY� o��/C��c.t� �S�u"��'"��'� GG-4c6-�.��.�Y V '`J l�fl X��^(l �+` f�ti' "��L'� cn,S,I,c` •^ � �s'P.' ( � <br /> �•G' y�. �, �1��{c � Gc��[�'� L �'j=�r� i��� S�1 •�^ `�S �F` ��r�a,. �� � � lll�C� ' <br /> �., s SJ�c���';z��x:�:�s � <br /> STORIES: � SQ. FEET OF EACH FLOOR: (� �'e�� 5�� ;�-�, <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'� �c�`'^ <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 wit t a pernut; and that the work will be in accordance with <br /> the approved plan. <br /> I <br /> APPLICANT'S SIGNATURE:���'" v— DATE: ��('��� (03 <br />