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: � • <br /> Total Fee: $ f�u� /� Date Received: ..�-���� <br /> Entered By: ,��/�'L Permit#: /�D"7�f�17 <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 ONTRACTO <br /> JOB SITE ADDRESS: ��7-� Pq rK U�. 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. <br /> NAME OF OWNER: �a�5 PHONE: (home) q 5 a -yJ� -Sa$5 <br /> (work) — <br /> MAILINGADDRESS: ,_�76 - P�,r�< Q�. CITY: �T �,� � ZIP: <br /> CONTRACTOR: _��1�p r ��n_sfr,� ��i�,� PHONE: 76 3 —`�97 - 5`Y��{ <br /> CONTACT PERSON: (�,.Q„f MOBILE/PAGER: 6 3 -a �6- �✓�o� <br /> MAILING ADDRESS: p, r�. ,g ox �p 3 CITY: f � „q� ZIP: S s3 7zS <br /> STATE LICENSE: # � o I J� 6 8 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �� <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �OD, � D <br /> I hereby apply for a building permit and I aclrnowledge that the informarion 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: S--� �D y <br />