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Total Fee: $ ��• S 5� Date Received: �D '' /"d`f <br /> Entered By: � Permit#: l�8'D o�-� <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 infarmatiorz) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � 3 w � �1J � �� ��r �� ZIp; S S �(� �—/ <br /> Will this be a P de 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: s C 4Tt' V�J • M��--�f�✓ PHONE: (home) ��� � ��.�-~23 �-( <br /> � � �o f �J . (work) (Z- � '' 8`�� <br /> MAILING ADDRESS: �"R-r^'t .�2 CITY: O ��✓o ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 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 Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe ifi detai�: 1�0���'v� <br /> STORIES: � SQ. FEET OF EACH FLOOR: ' <br /> NO. OF BEDROOMS: 2- GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��4� � f� <br /> I hereby apply for a building permit and I owledge that the information above is complete and accurate;that the <br /> work will be in conformance with the o i ances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work' ot to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: I� t �'I <br />