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� <br /> Total Fee: $ /�o�. �� Date Received: -2 2 -U..S�— <br /> Entered By: � Permit#: �v `?�-�O <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fult before plan review will be started. <br /> (please pYint all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> T�IE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �7�v ���3 D �Gc1�d�j 1e.17 ZIP: � `a ��� <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 tivith Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wild be reguir•ed unless applicant demonstrates <br /> sufficient on-site parking is available. Non pe�•mitted events wil!not be allowed. <br /> NAME OFOWNER: ��� �i�P/�Tiel c /G PHONE: (home �� �r/- y��� <br /> (work) <br /> MAILING ADDRESS: � 7/4 ��� `jic%ap �D CITY: d��a ZIP: a��3 -`�/ / <br /> CONTRACTOR: D, �c�-(c�v�c f�T �eJ 5 T� PHONE: C 9`�� ��� -����' <br /> CONTACT PERSON: �,�c� MOBILE/PAGER:��i� S�7> �5��- <br /> MAILING ADDRESS: �-F�� ILSr�/!�E �vh CITY: ,�/1 a.c.c ND ZIP: `��.��� <br /> STATE LICENSE: # B C - ?�/ � EXPIRATION DATE: �-��-�oa � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGI5TRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �� <br /> PROPOSED WORK(describe in detai�: ��/��/�,l� � �s��a �l /3 l�i� y� <br /> (�S 1 J1 �lr�� /Gt �./.��1 e ���yt � �4S� <br /> STORIES: _� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � ODO � <br /> � <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 witlz the approved plan. <br /> G���,.�� <br /> APPLICANT'S SIGNATURE: , � DATE: Z d5 <br /> 3t <br />