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,�1.. '�. <br /> .' <br /> , <br /> Total Fee: $ �� ��- �S Date Received: �/�"� cS� <br /> Entered By: �i Perrrait#: ` <br /> CITY OF ORONO - SL'ILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pririt all i�ifors�lation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> __ �-r- <br /> THE APPLICANT IS: (circle o�ie) O`VNER OR CO''�TTRACTOR <br /> „ �_------ <br /> JOB SITE ADDRESS: � ��� � Z�: <br /> �'�'ill this be a Pa�de of Homes, Remodelers Showcase Home or other Display Hame? <br /> ❑ Yes �NO Ifyes, a special event permit is required with Palice Departmeni and City Council apprroval <br /> 60 days prior ro the event. Slzarttle bzrs servi.ce u�ill be required unless applicant demorsstrates <br /> sz�cient on-site parking is available. Non Permitted events will not be allowed. <br /> NAMEOFOWNER: ,��---��!`� �s��i�-.� GJ� P�IONE: (honze) <br /> (work) <br /> MAILING ADDlE2ESS: ;����(5- `��v4� L�1ti��<� CITY:(;ti��\0 ZIP: <br /> CONTRA.CTOR: ���L,`� �- �� �Ci� S �' PHONE:�G 5 �LT 5-� j�� � <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILIIVG ADDRESS: ; a � 77 � D�t,� /\�x CITY:����1�'�L�ZLP: � <br /> STATE LICENSE: # �� � 7 EXPIRATION DATE:�/31 /� � _ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MA�LING AD�I2ESS: CI'i Y: ZI�: <br /> N�?�1�: REGIS'I'RATION: # <br /> TI'PE OF WOItK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSE���'OJE2�i(describe in detar.l�: ������i:. ; ��- tir'C v�'t;� �- (-���- ��' � ���'��`_� C- <br /> S'�OF.iES: SQ.�'E.��'O��ACH��OOR: <br /> IVO. OF �ED1ROOidIS: G�i2.�GE S'T��.,I,S: A'i"TAC�I�� DE'g'AC�IEI� <br /> ESTII�IA'TEi) CONS'I'RUCTIOl�VALZIA�'ION(excluding land): $ �, �Z: G <br /> I hereby apply for a buildin�permit aad I acknowledQe that the information above is compiete and accurate; <br /> that the work�vi11 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 pzrmit and work is not to start without a pern�it; and that the work wi11 be <br /> in accordance with the approved pian. <br /> APPLIC��T'S SIGNATURE:,;' 2 �C/ DATE: � —,���%'�� <br /> ( � <br /> �1 <br />