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Total Fee: $� � � �� � �� ,u� ,,' Date Received: �-�-�-s <br /> Entered By: r.-� �, � �1 Permit#: 1�08� <br /> � ��� � � <br /> CITY OF ORONO - BUILDIN� PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirtt all infor•ntation) <br /> THE APPLICANT IS: (circle orae) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � � � N o H--{-� ��-w� ��.�V �e. ZIP: -3 - �S <br /> Wil� this be a Parade of Homes, Remodelers Showcase Home or other Display Ho e <br /> � Yes ❑ No If yes, a special event perniit is required witla Police Depa t»z zt <br /> City Coacncil approval 60 days prior to the t. �z- e ai � <br /> events will not be allowed. <br /> NAME OF OWNER: �L Lc.r,c� �.�. �L��. e,�S PHONE: o e) �1 a..-��' 3� a l l 7 <br /> , ork) <br /> MAILINGADDRESS: �'` �`� ��ew'� ����--� �� ITY: c`e��ru��i�ZIP: S�-3 `i <br /> CONTRACTOR: �'e e �..o�n. w�.o.. \ �t e�s PHONE: �S � - `�1 �'/3 � d'aa �� <br /> CONTACT PERSON: ���v� O ILE AGER• ��a- g�I - oS c� � <br /> MAILING ADDRESS:Gl�� � �S ��. � ��e. ITY:�c�e�. ��'u��.�:�IP: S� 3�( 7 <br /> STATE LICENSE: # � 1 b(. XPIRATION DATE: 3 ' 3 / - v � <br /> �`� � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: Z � <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): N-e w 5���`e `t'c�.w`��,�, � e s���e k�iq, � <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: � ��.� o <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED_� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $__�� � , o � O <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and " not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: �— 3�� -S <br /> 9 <br />