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Total Fee: $��() . 5 3 Date Received: 4-24-0g <br /> Entered By: iZ 10 Permit#: t 0'7� 2,?� <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 /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: � 1)�i� lvic �.,��_�{`l 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. ��`� / .S'���t✓ <br /> NAME OF OWNER: ��1• PHONE: (home) '412- 3 y0 <br /> S5 Sg �'�'�►�pS/V� (work) <br /> MAILING ADDRESS: CITY: - ZIP: <br /> 3 6q <br /> CONTRACTOR: -I4c,,- wo(� 'RkO-�io ' ,,)�,��c PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: - 7 0 <br /> MAILING ADDRESS: A"2-,) 4,ccclN­ CITY: ZIP: 353'6'-c <br /> STATE LICENSE: # EXPIRATION ATE: <br /> ARCHITECT/ENGINEER: PHONE: `a52 <br /> MAILING ADDRESS: �' _tk„�.l CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move Home ` <br /> Remodel/Alteration ►.�5 <br /> PROPOSED WORK(describe in detail): F; 4_ '�,Se � -r� <7,� <br /> 1 tc'-,c_ <br /> !!Y— <br /> STORIES: lZ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: i GARAGE STALLS: ATTACHED DETACHED <br /> F�J <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_ o 0 <br /> I hereby apply for a building permit and I acdg that the information above is complete and accurate;that the <br /> work will be in conformance with the o in a codes of the City and with the State Building Code; that I <br /> understand this is not a permit and wor is no t s without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE fIr 011" DATE: <br />