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, . , <br /> Total Fee: $ t: '� `� � Date Received: <br /> Entered By: r:;-; , , , •'. ; , Permit#: . _ <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 infornaation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: , � <br /> . (circle one) OWNER OR CONTRACTOR� <br /> ��� � . . Y .. :f�� �i� ;r �� _ _� � _ � � - � . <br /> � , , " �� Y.� :' . .' -` <br /> JOB SITE ADDRESS: ��0 �`'r�_I;�� �;g'��✓ Q.'�.��,� ZIP: <br /> _.- __ � �jI,C�K�- 1� S'7 ca S� .dDC:�!i_)c-��,'' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �] No If yes, a special event pennit is required with Police Department and <br /> City Courzcil approval 60 days prior to the eve�at. Non-pernxitted <br /> events will not be allowed. <br /> NAME OF OWNER: !� :�►� C_�r���,� ' PHONE: (home) ._��x..-;�� ,�',��� <br /> ; <br /> (work) <br /> MAILING ADDRESS:� �'�'� Rv�� �� CITY: �U��� ZIP: ZZ <br /> ��� <br /> CONTRACTOR: �f vGTV/�,�'.� 6� �: ���__ PHONE: -7�3 ��`-{/ S 30� <br /> CONTACT PERSON: To►��[ MOBILE/PAGER ���Z � 3�9�Z4�,Z <br /> MAILING ADDRESS: /4-(� /.l C-�(�f�C `��' �a�G- CITY: GTc�i��J v��(LIP: ' zZ <br /> � STATE LICENSE: # 4�7Z. EXPIR.ATION DATE: 2��'� <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 /> PROPOSED WORK(describe iiz detazl): ���?^!'. % -�. �� t���cr��F; <br /> STORIES: Z SQ.FEET OF EACH FLOOR: Z���' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �50�O�l�, � <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 start without a permit; and that the work will be <br /> in accordance with the approved plan. <br /> ,--� d�. <br /> APPLICANT'S SIGNATURE:�`�/0- -� DATE: �� I '�'� <br /> 9 <br />