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�- Total Fee: $ 7S' Date Received: / Z1-0 <br /> Entered By: ,n✓YL Permit#: 07/ 7C' <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 C5�iT--_CTOR <br /> JOB SITE ADDRESS: 1 ��� ( (f//Y"3_7-2 .�c�/ , ZIP:I el <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes F�5 LNo 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 CC -tt- PHONE: (homer3 -S��� <br /> /- / , (work) <br /> MAILING ADDRESS: �1 0 -7��`�` CITY: e Y4L o ZIP: S5`3 <br /> CONTRACTOR: gwt -K Cot"4. PHONE: �sz gg� <br /> CONTACT PERSON: zGr �a - MOBILE/PAGER: 0/z 91/g 8z8a <br /> MAILING ADDRESS: 95.55 �u-ry� At--5 �z2$ CITY: F A- ZIP: S 3/ <br /> STATE LICENSE: # 2616eZ,102 <br /> ARCHITECT/ENGIN'EER: 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): V"("41 �20�)\CZcQ wVCL/It <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /2, <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 SIGNATUREZI_� DATE: / <br />