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Total Fee: $ ��_� 7�'� Date Received: jC���?L;��C�-� <br /> Entered By: ;��jl-�. Permit#: ��' ��3�/ <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al!iiifornaation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci1•c!e oize) OWNER OR ONTRACTOR <br /> Jos siTE a�nx�ss: �0�� �,r�C��_� S ��e% zlP: _. S�` ��/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S �1�10 !f yes, a special event pernsit is reqarlr�ed with Police Depai7ment and City Council cappr•oval <br /> 60 dnvs prio��to the event. Shartlle bzrs ser•vice tivilf be r�eguired un/ess applicant demonstrates <br /> szrff cienl or�-site par•king is avai/able. rVon-pernlitted events will r�at be nllolved. <br /> NAME OF OWNE1t: ���� �O`'S��_ PHON�: (home) 95�-`f73 ,3'�D� <br /> (work) <br /> MAILING ADDRESS: ��ZO�� �,C�l �� /�U� CITY: G'�U�C1� ZIP: '.5 S-�qi <br /> CONTRACTOR: l y�c % � /2 � ��,.. PHONE: 7��-�7�-33i7 <br /> CONTACT PERSON: �� ` � � � -;.� MOBILE�PAGER: ia - / -D 53� <br /> MAILING ADDRESS: j7.S�S Cc� ��/ ,�/ CITY: �� ��� ZIP: S �7 <br /> STATE LICENSE: # S 3 S�� EXPIRATION DATE: ,%��rr=/� G�� <br /> ARCI�ITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CI'TY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WOI2K(describe in detai�: ce�r o� lo /Ge .b��r�r-ir',�' r�r���,:.�,��S <br /> G�/��F ��S L�/' � /� L <br /> S'I'ORIES: SQ.F'EET'OF Ef1C�3[F'LOOI2: <br /> Ie1�. OF BED�2001YIS: GARAGE S'I'ALLS: A'I"TACHED DE'I'ACI��� <br /> cC� <br /> �STIMA'I'EI)CONS'I'I2�JCT'ION VAL,UA'TION(excluding land): � S��J� <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 ���ith the ordinances and codes of the Cin� and with the State Buildin� <br /> Code;that I understand this is not a permit and work is not to start witl�out a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> ._ _ <br /> r <br /> a��LIc�NT�s s1�N����: , - � `�, ����: �D- �� D.S <br /> , - _ _ <br /> �1 <br />