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� , • <br /> , <br /> Tot�l Fee: $ ;`v (% ��5 � tJ�� DateReceived: �' 3�+�� <br /> � Entered By: ����k��_� Permit#: �D9570 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � 1i All information must be submitted in full before plan review will be started. <br /> �;��� (please pt•int all inforf�zation) <br /> ' , ------------------------------------------------------- ---------------------------- <br /> n��"��. THE APPLICANT IS: (ci�•cle o OWNER OR"�ONTRA-�-- CTZSIZ � <br /> � � <br /> JOS SITE ADDRESS: �j� ._ac,,.�c�S�.1�_l�.�.�.�._ZIP: <br /> �a� �/y� �la�l�. .�- <br /> Will this be a Parade of omes, Re o e ers Showcase Home or other Display Home? <br /> �Yes ❑ NO If yes, a specia!event permit is required with Police Department and Citv Council approval <br /> 60 rlm�s prior to the event. S1�uttle bus service tivil!be reguired un/ess applicant demonstrates <br /> scrfficie��t on-site parking is available. No�i pern:itted ever:ts tivil not be rllotived. <br /> �7�� <br /> NA1�IE OF OWNER: �` � �����_ PH[Ol\TE: (home) �,�'j"���� <br /> (workX���..�',S�S�`'-/v�O <br /> MAILING ADDRESS: �()��C� l��/1.Je,, �• CITY: ZIP: �,,,_Syy� <br /> CONTRACTOR: r�� ; !-��. PHONE S`�{„5 �/�O�i <br /> CONTACT PERSON: �,_�.�� 2�.L[,�....q,,,., MOBILE/PAGER: <br /> MAILING ADDRESS: y�„ .p-�-�.. CITY: ZIP: <br /> STATE LICENSE: #_bL, ��[j�„(�(r,b�fb EXPIRATION DATE:_ <br /> ARCHITECT/ENGINEER: �'v c.� �j'�,r PHON����.�.�' ��-�� <br /> 1�IAILING ADDRESS: _���� GCA ' q��Lt,CITY: ZIP: ��'�s�/ �- <br /> NAME: � REGISTRA ON: # <br /> '�YPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descs•ibe ii2 detain: �Q,.� �5 7` %/�'(pe��� <br /> s�o��Es: 1 s�.FE�T���Ac���.,00�: <br /> NO. OF�EDROOMS: GARAGE STAI,LS: ATTACI-�ED I)�'TACI�E�_ <br /> ESTIlVIATED CONST'RUCTIOle1 VALUATION(excludingland): $ .��5,�� <br /> I liereby apply for a buildin�pemlit and I acknowledge that the information ve is complete and accurate; <br /> that the �vork will be in conformance with the o � ances and codes of t City and with the State Building <br /> Code;that I understand this is not a permit d wo is not to start wit t a pernlit; and that the work will be <br /> in accordance with the approved plan. <br /> /� <br /> APPLICANT'S SIGNATURE: � DATE: � U <br /> 31 <br />