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Total Fee: . $ -q3 Date Received: AV66GS <br /> Entered By: f i) :,✓rvz�f A DS 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: 642Cy-04247 PjjC4 (Qi ZIP: '5-r5 s'l <br /> Will this be a P -acj.e..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. <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: r9c2- <br /> CONTACT PERSON: 4-o-tf'w X77* MOBILE/PAGER: <br /> MAILING ADDRESS: 9b 3 7 /5 A1/L S. CITY: �jll ht/prh,IZIP: S, 2S' <br /> STATE LICENSE: # 2c.. 2.z 7 Fra <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New '� Accessory Structure <br /> Addition i/ Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Igo(t..D iE�4d <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ i -a-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 a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATU' %!�/1� DATE: 0 <br />