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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 O CONTRACTOR <br /> JOB SITE ADDRESS: / 3 � �� I 4C PL, ZIP: .653c. y <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. -"l <br /> NAME OF OWNER: Z 3 1 �L Tb/ PHONE: (home) Z Y72 3‘,8gO <br /> g <br /> (work) <br /> MAILING ADDRESS: OgCt'-A 6 (CITY: 4)40/00 ZIP: <br /> CONTRACTOR: t' 5/'11/7 �j '/waiPio T- HONE: 9,5Z y7 L <br /> CONTACT PERSON: iu' - MOBILE/PAGER: 2 27.5 7 <br /> MAILING ADDRESS:K,3 5, SftdtWs Li( • CITY:, 4ALL1 _1 i-za ZIP: 4_536 y <br /> STATE LICENSE: # 530c/ <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): 7 4,2 c F gOOr-fick, kge <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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: '',....r,04- DATE: <br /> *75/0 <br />