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�.�` � , <br /> t ,�,.'`�� �a.,� <br /> � . � � -, ti.�' <br /> ; � �� � ��' <br /> ` � � c c �-/ <br /> � otal Fee: $ - ` ����' Date Received: �� ��� <br /> Entered By: f�!� ��.���, �;� ���_ c�`-- Permit#• � /� /C`r <br /> 7 <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 information) <br /> -- --------------------------------_���----------�-�----��iC/����C�-------------------- <br /> THE APPLICANT IS: (ccrcle one) ��V NER OR CONTRACTOR <br /> JOB SITE ADDRESS: /'i�-c �; ZIP: <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 required with Police Department and City Council approval <br /> 60 days prior to the event. Sha�ttle bars service will be regz�ired unless applicant demonstrates <br /> sufficient on-site parking is avai able. N n pen�zitted events will not be allotived <br /> NAME OF OWNER: �� � e D ��PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> �� � <br /> CONTRACTOR: � - �/` /1l� u�cL PHONE: G?I�'�'�-���� <br /> CONTACT PERS : �� MOBILE/PAGER: 7��1�—���� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accesso Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detai�: �'`� �'�r��S S��t e � <br /> ;vG � ��c - �v.e�� �� � C�'�� <br /> STORIES: � SQ.FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, S—� <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 ord' d codes of the City and with the State Building <br /> Code;that I understand this is not a permit a or�Ts not�to start without a pernut;and that the work will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: DATE: � /� � <br /> f. <br /> / 31 <br />