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� , <br /> Total Fee: $ C-�f 0 J�O��� Date Received: , `� U(is <br /> Entered By: .-�y�. Permit#• ��Q� (,��; <br /> �' <br /> „\`a�o� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � } <br /> 1��� <br /> `' All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �.�d� �iX��`\ ��� �' ZIP: �S ��� <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes O If yes, a specia!event pei-�nit is required with Police Deparhnent and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless ap�licant demonstrates <br /> szrfficient on-site par�king is available. Non pe�•mitted events will not be allowed. <br /> NAME OF OWNER: �,t�1Z,�1� �A�D'(��l Z- PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:��� �l�'� CITY: �.�1:��,��ZIP: _{�� �-�� <br /> _��_�. <br /> r� , <br /> CONTRACTOR: ky'j- '?'1� v 101-v L ry PHONE: �1(D�' •-�1� -Zp I`] <br /> CONTACT PERSON: �[� � MOBILE/PAGER: 4�Z- S�'�-�'�,S <br /> MAILING ADDRESS: �"j(�Q,t,� }�,atZ�}S�: CITY: �:-Q���U ZIP: �5�� <br /> STATE LICENSE: # ��C Zb�3c�`i�,� EXPIRATION DATE: �-3 t- r(D <br /> ARCHITECT/ENGINEER: � ` ��� '.�P•+(� PHONE: (��1 - �Z I V �7t�}Z. <br /> MAILING ADDRESS: ►� �, � ' �111E CITY: �, �j�ul.. ZIP: SS 10 <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home �,� Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) <br /> PROPOSED WORK(describe in detai�: ��1���C. �:X�;c,-�'�� '�(;��E jz,x.,�� ��,,�, <br /> �'�=�-� Y1C�%5c <br /> STORIES: _�_ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l��C',rj � <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 without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> � <br /> APPLICANT'S SIGNATURE: _� '' DATE: ?-�--cf� � <br /> 31 <br />