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' � r� ,�� <br /> , � ��� <br /> . � �� i <br /> Total Fee: $ ` � • "'C Date Received: �'�• �G -� ( �� <br /> Entered By: ;�'� Permit#• j-� v'�L;�� �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[inforrriation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> � � <br /> JOB SITE ADDRESS: � �L� c;���-� �. �n t �� ZIP: � < < <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS��O If yes, a special evertt permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> .�""' •-� � <br /> NAME Q��+ OWNER: � �'�, s �� �� t`�,-�'c.ti�����ONE: (home)c���.' ������`fD'� <br /> (work) <br /> MAILING ADDRESS: �CS�R�' �h��'^� �� c- .t CITY: ��"���__ZIP:�.�c�- �I -9�1 � <br /> CONTRACTOR: � -�-� " i'HONE: �-�'��� ' -��G - ��{C�j <br /> CONTACTPERSON: '(��% �.i/�,��P; MOBILE/PAGER: <br /> MAILING ADDRESS: ' � � ��L CITY: ZIP: ��`-�=�"'� <br /> STATE LICENSE: # > - EXPIRATION DATE: ��l :��� <br /> ARCHITECT/ENGINEER: ���� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> u�-'\ <br /> PROPOSED WORK(describe in detai�: �e ���.� � h%�. ��' <br /> . `� , �� <br /> 1 � V ��� l' , i: '� .1 � _ <br /> (_-i.rc t�— i�-�%� �'' .,� �J j1 ' 3�y 3.=J <br /> STORIES: ��' — SQ.FEET OF EACH FLOOR: ,� L/ l. ' 1����`h - :',S�� � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> � �, ^ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ - d � <br /> lM.� Oo�,�..� s,-�e� 1, �o . o c� o o� <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 with t a permit;and that the work will be <br /> in accordance with the approv� n. � <br /> APPLICANT'S SIGNATURE: � DATE: - � - t� • <br /> ��� <br /> �1 U tl �"Z�`Yl!'n!� '� 31 <br />