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Total Fee: $ t351 73 Date Received: � -D <br /> ' Entered By: Permit#• AQ 7450 <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) �O�W�NEOR CONTRACTO <br /> JOB SITE ADDRESS: C� �-,d 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� <br /> NAME OF OWNER: v PHONE: (home) a <br /> MAILING ADDRESS:ZAO OJ4 CITY: 6o �VU ZIP: <br /> CONTRACTOR: PHONE:1ST 4-2/ IP J <br /> CONTACT PERSON: MOBILE/PAGER: ?J,- ' ) <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 /> Remodel/Alteration Land Alteration <br /> PROPOSED ORK(describe i etai L <br /> zldz 5: <br /> nn <br /> STORIES: SQ. FEET OF EACH FLOOR: q <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_Jr)D <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 isno to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: �- G� DATE: I2 Zl C <br />