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� <br /> � , <br /> Total Fee: � s�o7 y 6 9 Date Received: /-'3/D(p <br /> Entered By: Permit#: /-�O 9S 7/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 33� All information must be submitted in full before plan review will be started. <br /> (please pf•int all infof�fnatio�i) <br /> ;��,�y 'I'HE APPLICANT IS: (circle o OWNER OR CONTF:��-�---��� <br /> '1�� . .—__._ _ -----�-- <br /> '' JOB SITE ADDRESS: ���{��C � h ZIP: <br /> ` � l.�t� � _ <br /> \"� <br /> �'�'�' ��-�--'�1 � a l bC.�..._.2.._ <br /> `Vill this be a Parade of omes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a specia!ever:t permit is��equired with Police Department rnzd Citv Council approval <br /> 60 dai�s prior to the event. Shutlle bcrs sen�ice tivil!be reguired tniless applicnnt den:onsh•ates <br /> se�cient on-site parking is�rv�iilable. Non permitted events wi!l not be a�o �e , <br /> NAIVIE OF OWNER: ��' a��,�L�� P�o�'E: (home) � <br /> (�vork =-/o�Ob <br /> n7AILING ADDItESS:f Q�O [�� �,. /t�.� CITY: � ZIP: ,��Sy�! <br /> CONTRACTOR: � fJ � -L�-. PHONE: �"� ,/� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: #�'_-��(o b�(5 EXPIRATIO\T DATE: �/s/�Q�_ <br /> —�r--. <br /> ARCHITECT/ENGINEER: �,('uGe ��l.i fC��' pH0\TE: 3 �S���-Sl� <br /> l�7AILI\G ADDRESS ti�� --,�4 �._ � CITI': � ZIP: �,�. <br /> NAME: REGISTRATI N: # <br /> 'I'YPE OF `�'ORK: New _� Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in det�cin: <br /> ��'�RIES: � S(�.FEET��'�A�H FLOOR: <br /> N�. OF BED�tOOMS: GARAGE STA�,I,S: A�'TACI-��d)� ��TACI-�ED_ <br /> EST'IMATED CONS'TRUCTION VALUATION(excluding land): $ �..�,,� <br /> I hereby apply for a building pernlit and I acknowled�e that the infonnation above is complete and accurate; <br /> tliat the �vork will be in conformance�vith the ordinances and codes of the � y and with the State Buildin� <br /> Code; that I understand this is not a permit an . or is not to tart�vithou pern�it; and that the work��-i11 be <br /> in accordance with the approved plan. i <br /> -' ::_:�� <br /> APPLICANT'S SIGNATURE: DATE: �S <br /> 3t <br />