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; ,,,.,.,,,.._.._..._........ _ <br /> � <br /> 4 <br /> i <br /> P <br /> � Total Fee: $ °?g� � � Date Received: �-a2-�� <br /> ,� Entered By: Permit#: �7�g� <br /> ` �b'� <br /> 6 <br /> ` CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infornaation) <br /> --------------------------------------------------------- <br /> THE APPLICANT IS: (circle orze) OWNER R CONTRACTOR <br /> J <br /> OB SITEADDRESS: I��'� ��1G'�� L�0 � �aGl("� ��►�J ZIP: �s�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [� No If yes, a special everit per»zit is required with Poli.ce Depart�nent a�zd <br /> City Council approval 60 days p�zor to the event. No�a-pen�aitted <br /> events will raot be allowed. <br /> NAME OF OWNER: SGakk�� ,�ar0�, t��l'���1 PHONE: (home)C�� ��I-�jS 4�i <br /> . (work) � �'70'a(�''1,� <br /> MAILINGADDRESS: ��J S�l f�6�u�DV�-�� CITY: d�nt7 ZIP: � �4 <br /> CONTR.ACTOR: v o��-e,.����•�Sr..�/�`F- _PHONE: �.�.Z. lS'�r � �� c� <br /> CONTACT PERSON: ���'�-��' �'�•��'� MOBILE/PAGER: <br /> MAILING ADDRESS: `"5 /�-����a•✓ •oGZ CITY: �^-"'r=,e��+ZIP: S�3�'� <br /> STATE LICENSE: # �? EXPIRATION DATE: �� _ <br /> ARCHITECT/ENGINEER: 1 I I�r PHONE: <br /> MAILING ADDRESS: CITY: Z�� <br /> NAME: REGISTRA'�ION# <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detain:�����I�.CQ Q_.,��5�'IVIc� ��G�.(� ��G� �Gt� <br /> S�t'i�CA,S� <br /> , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> 0 0 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � <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 tart without a permit;and that the work�vill be <br /> in accordance with the approved plan. <br /> � t. <br /> APPLICANT'S SIGNAT DATE: �'��+ '� <br /> 9 <br />