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Total Fee: $ 5 5, 3g Date Received: /--51-Z) <br /> Entered By: .2- Permit#: /}b 7/z/ <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: Z&) So, ' C,,. '.ad ZIP: SM-J 9 J <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes I -I 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 nor <br /> be allowed. <br /> NAME OF OWNER: ut e_ra µ ld_ I� c. E PHONE: (home) `1 <br /> (work) <br /> MAILING ADDRESS: zs'o So. Cr-c,,;` (9i�. / CITY: (.C./.)--,To ZIP: <br /> CONTRACTOR: / ik'L 4- ere e..ic I . PHONE: (o/ 2 —d't 6 Z.o z S <br /> CONTACT PERSON: C r.� 5�.4,vi cP MOBILE/PAGER: — <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 x, Move <br /> Remodel/Alteration - Land Alteration <br /> PROPOSED WORK(describe in detail): / X /4 ' /foe ( s ys {p.� e ye r J a Ted . <br /> C-e v_„ p c! <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ //, d 0 0 <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: � DATE: 41' /s <br />