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. _ a. � 3�t�;� <br /> � <br /> Cl� <br /> � <br /> . <br /> Total Fee: $ �8�j, ?� � DateReceiv d: � �(J7 "��%' <br /> Entered By: ���:r��;��.� ,�� Permit#: (�(�jt-� �;"�� <br /> ����_ <br /> CITY OF ORONO - B ING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforrnation) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR ; <br /> �....._ ..._.__......___...._ . <br /> JOB SITE ADDRESS: 1?c�=�-. <l,��,....��_ r �,,,;�c � 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 required wrth Police Department and City Council approval <br /> 60 days prior to tlze event. Sharttle bzrs service will be reqz�ired c�nless applicant demonstrates <br /> sarfficient on-site parking is available. Non�en�iitted events will not be allowed. <br /> NAME OF OWNER: ��fr� �+r`�f-���- �c+ �,aF� PHONE: (home) <br /> �«:;�s (work) <br /> MAILING ADDRESS: /!�'�/ ,S�< <,nl `?� CITY: ;:rc�-,�`•„o,- ZIP: j� -5 3� <br /> CONTRACTOR: :;:i�-r?�fr S �-,-�w � �c:;��Yr PHONE: )5�- y'75'- �l� c� <br /> CONTACTPERSON: �F}rr., �r/S�,v MOBILE/PAGER: `��;�- ,�`i:,�- a�'�% <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ,�,•;3 y C `�C� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <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 detain: S�-rp -} c � �e�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 c', oc c <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 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 /> ��.��. <br /> APPLICANT'SSIGNATURE: �;���Z� C.����- DATE: ,^�— 3 _�>�, <br /> � <br /> 31 <br />