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, n n 9J�� ��� <br /> L�r <br /> , ��� <br /> Total Fee: $ /3/6•/� Date Receiv : �-��� �� <br /> Entered By: ,� Permit#: �q/J�/ <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 one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: ��'`�D SG 1�r� L+ 7'C ZIP: _ ,��.�S�G' <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 reguired ivith Police Department and City Council approva! <br /> 60 days prior to the event. Shttttle bz�s service will be required ttnless applicant demonstrates <br /> su�cient on-site parking is available. Non pe►•mitted events wil!not be allowed. <br /> NAME OF OWNER: Q ob� fi �c ti�� /,1�'� �.�,c�SPHONE: (home) 95�� �y7�.z yoa <br /> (work) <br /> MAILING ADDRESS: a�`d"0 Sa fr.� �f CITY: ��O N c7 ZIp; ,.S".S-�S� <br /> CONTRACTOR: /�r �C �arN �s �n�L' PHONE: �/�- �6.�=5�,3 0 <br /> CONTACT PERSON: s�,` g n OBIL AGER: �'/2-�.s-� Q�a <br /> MAILINGADDRESS: � L /; �� La,,�� CITY: .S� /�'1,'�(�,�rLIP: �,�,�7` <br /> STATE LICENSE: # /�,2 � EXPIRATION DATE: ,3-3/- c�6 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detai�: h :'�c� �N �a�-�i dZ Mo�e� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 9�DOO� � <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 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: C�%�� ' �` ' -- DATE: 1`/a -.oS <br /> 31 <br />