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Total Fee: $ 108 -7, 79 _ Date Received: <br /> Entered By: Permit#: p� <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 CONTRACTOR <br /> JOB SITE ADDRESS: 0 a�� e,c ZIP: '3- S-3 5- <br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home? <br /> F-1Yes <br /> 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: P1 AC P d f6,,le, -40 W 4,, PHONE: (home) R 5-Z L(71(- 7/2 <br /> (work) <br /> MAILING ADDRESS: Sck✓>lQ- CITY: ZIP: <br /> CONTRACTOR: Z uvt i PHONE: S ' y �76(- <br /> CONTACT PERSON: Sc<rah ,l(,'a m56 rl MOBILE/PAGER: (a1� . Sr6o 66y� <br /> MAILING ADDRESS: ,2'4 S ee`f CITY: 45-c< fo✓ ZIP: X533/ <br /> STATE LICENSE: # C'- <br /> ARCHITECT/ENGINEER: I' 1 kf AAa> AC'6- i Y? PHONE: c(7t(- <br /> MAILING ADDRESS: 4 CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition _ Move <br /> Remodel/Alteration _ Land Alteration <br /> PROPOSED WO (describ in detail): S�7/I(/ <br /> � • G� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: ? GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S� (� d 6 <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: ATE: L <br />