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. �� � ( � � � � �� <br /> Total Fee: $ Date Received: ,Y/ <br /> Entered By: �� Perrnit#: 6 <br /> � <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 o�e) OWNER OR O TRACT <br /> JOB SITE ADDRESS: I xy�V , . 1- K;1 NT (0�1 2C",LF ZIP: '�jC��� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes,a specinl event permit is required with Police Depariment and Ciry Couneil approvat <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home) <br /> (worl:) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��a,��Qm ��(,�jj,(r1��> (� PHONE:�-4�1�-�� <br /> CONTACT PERSON: �P�N E 1�-K�'(�-� M�B�LE/PAGER:C1�Z-Z9(.r�-� <br /> MAILING ADDRESS:(�T1N�=LVE f�K.;C N1�K hIZ TY: y�F�t Z�� ZIP: `�� <br /> STATE LICENSE: # ZG3C?7�?�� EXPIRATION DATE: ��� <br /> ARCHITECT/ENGINEER:��`� �-�� ��� PHONE:��-��'�-�`�D�o <br /> MAIL[NGA��REss: 6€�332 �-���=Ft�u,�-� �i� ciTY: C��N ������L��: �,�G <br /> NAME: �`I��'IE-;�'"]' �f�NFT REGISTRATION: # LG'.�302>(� <br /> TYPE OF WORK: Ne�� Home 1C Addition Accesson� Structwe <br /> Move Home RemodeUAlteration(i.e.: Siding,Windows) <br /> d <br /> . , . i.�f1��f�t-Ll�f� l SlF.. . . . � � <br /> _ <br /> PROPOSED WORK(describe in detain: ti l�v! f�/�-1� <br /> F�CfIN IT)C ,C�A-il�l 2n��C��' <br /> STORIES: 2 'f• SQ.FEET OF EACH FLOOR: C . � -�( . /��� � �( . (�'�U �r, t� � <br /> 1v0. OF BEDROOMS: `t GARAGE STALLS: ATTACH DETA HED <br /> o� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ LcC�C, Lr'D, — <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 Ciry and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SiGNATURE: � `---� TE: �"�4 "�� <br /> 31 <br />