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Total Fee: $ )3 9 , 01 Date Received: �-Zd-oq <br /> Entered By: Permit#: A O79 <br /> -710 <br /> CITY O 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 CONTRACTOR <br /> JOB SITE ADDRESS: A4�'A 196e ZIP: SS S <br /> Will this be a Par e of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o 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: IL/ 9��ter rt �-� P�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: /h ZIP: 3 S <br /> CONTRACTOR: Xos- eS PHONE: A/.2, <br /> CONTACT PERSON: C14 21D AS v r.__ MOBILE/PAGER: <br /> MAILING ADDRESS: <4' p-e- CITY: /' <ZIP: <br /> STATE LICENSE: # ;k"o 2 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): /=-- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ _ S©o <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 ermit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: TE: ���� <br />