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� <br /> Total Fee: $ �� Date Received: /D— /�—OS <br /> Entered Sy: cCi�,�c_, ��/Z-� Permit#: ,�o93aa <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease pri�it all informafion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ?�7 � v �S(;l�!!-�!/�t" ��,'�ZIP: � ��j^,�. <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Dispiay Home? <br /> ❑ Yes NO If yes, a special event per�rnit is reguired�vith Police Department and City Coimci/appr•oval <br /> 60 days pr�ior�to the event. Shtrttle btts service tivill be reguired zinless applr.cant demonstr•ates <br /> sz�fficierzt on-site pnrking is availabde. Non-perrnitted events tivill not be allorved. <br /> NAME OF OWNER: �C�� �l�G1l!',����{Q� PHONE: (hoine) <br /> '�_ �W�►�k> � _�� Y� <br /> MAILING ADDRESS: 2�e�l/��1 ��l CITY: C�/���i2C� ZIP:�;����� <br /> CONTRACTOR: C��1' �' vIC_ PHONE: �--�Q�j <br /> CONTACT PERSON: �/' � rb MOBILE/PAGER: " � <br /> MAILING ADDRESS: � : L CITY:�G ���GiQ ��P:� ��� ��� <br /> STATE LICENSE: # ���-� EXPIRATION DATE: � <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 7� <br /> PROPOSED WORK(tlescribe in detain: �n'IQY l /�41 � '/�iG'�1 '�" �t/; ,j. '���5 <br /> t�� � �����?- � �--� wv� �; - 5 �, r - Y'e.�: ,'� - w � �� <br /> ���G�Y �� �iG� LV1'1C� �jG� �'_ <br /> S'I'ORIES: SQ.FEE'I'OF EACI3 FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHEI) <br /> �S'TIIVIATEI3 CONSTRUCTION VALiJESTION(excluding land): $ � ' � <br /> � <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 co s of the City and with the State Building <br /> Code;that I understand this is not a permit and work is n t to sta ho� a ertnit;and that the work will be <br /> in accordance with the approved plan. <br /> ' 1 �'�� <br /> APPLICANT'S SIGNATURE: � DATE: �Z� ��� <br /> 31 <br />