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� �� <br /> Total Fee: $ i!` �� Date Received: �-._3l C% v' <br /> Entered By: ;�)%"° �'�,'v''�''1 Permit#: ,�(_�'���`� '�'�' <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 infornzation) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �',:tSWNEB:OR CONTRACTOR <br /> JOB SITE ADDRESS: �g Z� �5 `10��tiv6�C � � ZIP: `��3�{ � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a s�ecial event permit is required with Police Department and Ciry Council approval <br /> 60 days pr•ior to t1�e event. SJzuttle bz�s service will be required unless applicant demonstrates <br /> sufficient on-sr�te�arkii�g is availnble. Non pe�rynitted events will r�at be allowed. <br /> (� ,,. <br /> NAME OF OWNER: �V1 � .�(�tb►'11nc%i, �v..�,�.lX PHONE: (home) SZ� I r��(� 7 <br /> � (; (work) c c 2 �I - 3�C�(� <br /> MAILINGADDRESS: ����S��u���'�(� � � CITY: ����y�-fl� ZIP: �_��`�� <br /> CONTRACTOR: c�%� PHONE: <br /> CONTACT PERSON: -�, MOBILE/PAGER: �•�Z y�� ���S�� <br /> MAILINGADDRESS: ;��.:.�jr��. CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: c�/�t"����� PHONE: <br /> 7l� 5 ;7�-ZS—`G�% <br /> MAILING ADDRESS: -ZC 1 �� ��e r � � -� CITY: ���lS ZIP: 5_.��-f-Z i <br /> NAME: J��S�'i� REGISTRATION: # �/i�-�/ <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> PROPOSED WORK(describe in detai�: �c�t,--�' 6e'a�rcZ�m 5, /��7����'D/r� C�'� '/��' <br /> �CU�I �— <br /> STORIES: Z SQ.FEET OF EACH FLOOR: �Z_S�Z <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED ✓ DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��, ��t'�' <br /> I hereby apply for a building pennit 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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �2 � L(� <br /> 31 <br />