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! <br /> 1 <br /> Total Fee: $ � � �n • 5� Date Received: � /S/O� <br /> Entered By: '�./� - /-'�'�� �.�`�� Permit#: �v 7 J c�c� <br /> r.., <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fu116efore plan review will be started. <br /> (please print all information) <br /> T�IE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 13 �o �,��'1 ��'rN1 �� ZIP: �5�36 �/ <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: �!- 4,/d l b PHONE: (home)_�.5��-'�71-�'� L <br /> (work)�►Sa- 'f)�-3?7� <br /> MAILING ADDRESS: i.3 gp �e✓`� �',,,,�, �CITY: (��('Oy�p 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 /> RemodeUAlteration ✓ , . , ,.Lami Alteration <br /> , <br /> PROPOSED WORK(describe in detai�: -�c4� n u.-E- Q�� .k�''�c..�p� G��tin�'�'S G�� (�y�.� <br /> d� ��e�✓'a i� �- <br /> � �e.vi-r;c�. 0�-E-(�e.:ts, �#c. • ew�A�e+e-4�Gt� � lls �t- G�e r i� <br /> STORIES: � Y SQ. FEET OF EACH FLOOR: /SUO --}-o�� <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 no�o start without rmi • that the work will be in accordance with <br /> the approved plan. <br /> % � J � � <br /> APPLICANT'S SIGNATURE: ` DATE:�� � <br />