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�'otal Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BLZLDING 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 /> � � ] ^,1 ^, ` ��1 c}' <br /> JOB SITE ADDRESS: �4^� �,;������ �=������� ��CI�° ��,IC� l�"��� ZIP: 5 > 3 � � <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 /> Coacncil approl•a160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> f-��,,��f G�e-e r� � <br /> NAME OF OWNER: �Un� i �Lo, ��� PHONE: (home)`1.5�� -�I7�-���5 <br /> .., � (work)Li� `''J --57� 1 <br /> MAILING ADDRESS: �ia S i'����n,�r����� ���;i CITY: L,���, y��, ZIP: .S`s � <br /> CONTRACTOR: �IF �I�P��,�u � ��I;1 , �L�r t S PHONE: i S� ��6 �'�a� <br /> CONTACT PERSON: ,�u ,.,� ;�, (��Q g � NIOBILE/�2: �/;�- � �. - 3�S <br /> MAILING ADDRESS: j � <br /> �f b � F_ • �7�t ��- CITY: � ��,-Y, ,n��� �,�ZIP: ����� . c7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition �iove <br /> RemodeUAlteration� Land Alteration <br /> PROPOSED WORK describe i�: detai �/ '� � <br /> ( �� /[e�';o�' � � �,� '(' � r� �,r?u ��e �% ��;�1 �- <br /> � � <br /> �e a� CI- Z61 S fc� I I ��J P i,a� I 5?!� /►'1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: �TT. DET. <br /> �? <br /> ESTIMATED CONSTRUCTION VALU�TION (excluding land): $ � � d d v <br /> I hereby apply for a building pernut and I ackno«�ledge 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 pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. j <br /> , � <br /> APPLICANT'S SIGNATURE: - � DATE: �� �� "�� <br /> ��' r <br />