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• . <br /> Total Fee: $ `� �v� - lYZv DateReceived: `�D�j 9(oZ- <br /> Entered By: ��'_� Permit#: �;/5 /��� <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACT <br /> 9' � ,� <br /> JOB SITE ADDRESS: �qg'� �vO�Q0�10 /1'1/� 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: d )YY1 ^ <br /> TleRtxn'� PHONE: (home) �j,j"'�-y�9�q3 <br /> (work) <br /> MAILING ADDRESS: �gOJ (�e6�"�}xw� �p CITY: e ZIP: <br /> CONTRACTOR: ��ic�hen�a,,� C�,�s�' PHONE: lol�.-$�`j-�O� ?'T <br /> CONTACT PERSON: !3n� MOBILE/PAGER: <br /> MAILING ADDRESS: ,�,�oa s' PM.rN�F 1'Z�. CITY: �,�h ZIP: S.S'3 yp <br /> STATE LICENSE: # ����,� •f/,f"1 EXPIRATION DATE: 3�3 J -DG <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition f� Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: �[�E'E',� �0�,� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /g�OG�D <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confonnance 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 /> APPLICANT'S SIGNATURE: . DATE: � 7"'J �"'D� <br /> 31 <br />