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• Total Fee: $ Date Received: 9-�'�`� <br /> Entered By: Permit#: /� gGt�2 <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 /> ------------------------------------------------------------------- --------------- - -------------------------------- <br /> THE APPLI�CANT IS: (circle o�ie) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: 7i��1 4 {�(�-s�T 12.�. ZIP: �S�r-r � <br /> Will this be a P rade 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: � ( �G.� I� � � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �?6 �1 - CITY: ZIP: <br /> � <br /> CONTRACTOR: �) , �' �/'h,�'f Ca y�,� PHONE: �5�--�7�- ��-�-�� <br /> CONTACT PERSON: 3 v r� MOBILE/PAGER: G�a--8 6 �-3 i� � <br /> MAILING ADDRESS: 6S`�S So. S�wr-n��.s Lk �CITY:�'Ll��l�e�-r,� � ZIP: S�s � <br /> STATE LICENSE: # s'3 c�� <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�: �� � U� �'�'�! ' -- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, O U6 <br /> I hereby apply for a building permit and I aclrnowledge 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: � ' � �- 6 � <br />