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4 <br /> Total Fee: $ � � �v •�� Date Received: 7-1�� <br /> Entered By: � Permit#: ,Ejpg/3(p <br /> �.�� �`-�'�C�' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in fu❑ before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: _�9�� CQ �,� �p 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 reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: �yn�� ���Qnh�" PHONE: (home) �,��-�7.�9��� <br /> (work) <br /> MAILING ADDRESS: �gd/ �•t�c�S�"�i4-�2 vr� �� CITY: ���1y-��e ZIP: <br /> CONTRACTOR: 4 e <br /> ���}-itJ �?�� �'t5Ck7 Cc��S�. �vIC PHONE: �1a2�-�'�J�-G7�7 7 <br /> CONTACT PERSON: ���� 5-�--��e,?�,.� MOBILE/PAGER: <br /> MA.ILING ADDRESS: �D�',,�,tw,•v� IZD CITY: l�lr��.wn ZIP: �'t.� <br /> STATE LICENSE: # �O,��� �,� EXPIRATION DATE: 3- 3 1-0 6 <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 /> i <br /> PROPOSED WORK(describe in detai�: �U�� �� •�'�D � ,�G� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , �l�p � <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 s rt without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: .� � <br /> DATE: ��`�� <br /> 31 <br />