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� Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all i�zfornaation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle orze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z 7 �� l (f�-lS-,�v-r�' ��� ZIP: -1 J�_ � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special everrt permit is i�equirecl with Police Departf�ient and City <br /> Coi,rncil czppr-oval 60 days prior to tlie evefat. Non per��2ittecl events will not <br /> be allowed. <br /> NAME OF OWNER: y/t' l- �= S/� � � (�C PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: �� -S`J ���'�'��` � � CITY: ZIP: <br /> CONTRACTOR: V �► � 1-. S� , f �I Cn i� I ' PHONE: � S,�- - �f �3 - �S 1 �, <br /> CONTACT PERSON: (� �� �� MOBILE/PAGER: <br /> MAILING ADDRESS: (�,S 6 S �. Siiti �. w, �_����� C k j,;��, CITY: (ti'���r���f r_s�z. ZIP: �S=� � C � <br /> STATE LICENSE: # S"3 =�`j <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration x Land Alteration <br /> � � <br /> PROPOSED WORK(describe i►z detai�: � �_�/-� ���J � {'2 rS��-, � �---�� <br /> ..�.___, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ \� , �� =- "—� <br /> I hereby apply for a building permit and I aclmowledge 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 /> , �- -� � - � � -.,� � <br /> APPLICANT S SIGNATURE: ' DATE: ` � ' <br />