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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 /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: ,���I lJ NO�-I� J�� DQ— Zn': <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 /> � 1 ' ` 1 n <br /> NAME OF OWNER: , �� Wj� PHONE: �me)"F�- a�i -44-34 <br /> (work) <br /> MAILING ADDRESS: �5� 5�����- CITY: �(�-01�1(� ZIP: 5�3�Z0 <br /> CONTRACTOR:TUP�.LN t t.,F)NSTQUCC.�11�t� �L �-�Of'1�C� PHONE: ��q s� -aa�-�4,'� <br /> CONTACT PERSON: �'�� MOBILE/�: l.v la-3�8-�51n 1 <br /> MAILING ADDRESS: 2�0 W �181�s Si• ,�t�l Sa CITY: �IS�M ►�1(,ra�.��Ip: a0 <br /> STATE LICENSE: # �'Ua I ��4-$3 EXPIRATION DATE: 3�31 I bs <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition � _ Move Home _ <br /> RemodeUAlteration <br /> PROPOSED WORK(describe in detain: T��'� O�r (�� ��0� -�C��`� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�����J � V v <br /> I hereby apply for a building permit and I acknowledge 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 not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �� I�� a`/ <br />