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co'� <br /> �� 5 <br /> 1� <br /> e� �c 1 <br /> Total Fee: S 7(p70. "/ C Date Received: / D9 3 5 <br /> Entered By: Permit <br /> _ U <br /> CITY OF ORONO - BUILDIN PER IT 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 CONTRACTOR <br /> JOB SITE ADDRESS: 771Y� `� ZIP: <br /> Will this be a Pa a of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes VNO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event, Shuttle bus service will be required unless applicant demonstrates <br /> n sz ff cient on-site parking is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: PHONE: (home) 9J z <br /> (work) qsz-5'0/ s�7s <br /> MAILING ADDRESS:-11,1445Y2�_­ CITY: a. <br /> / ,�ZIP: 9-s'38'Y <br /> CONTRACTOR: PHONE: �;sZ <br /> CONTACT PERSON: Z!, UBE/PAGER: — <br /> MAILING ADDRESS: .- CITY: ZIP: <br /> STATE LICENSE: # � EXPIRATION DATE: <br /> ARCHITECT/ENGINEER• P _ 444014� PHO <br /> MAILING ADDRESS:6 3/3otos .� G CITY: ZIP: 55S--17- <br /> NAME: <br /> S-`1ZNAME: REGISTRAT N: # <br /> TYPE OF WORK: New 'V Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: `L SQ.FEET OF EACH FLOOR: _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED 0— DETACHED a <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): <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 stai/lAlithOUt a permit;and that the work will be <br /> in accordance with the appro p an. <br /> APPLICANT'S SIGNATURE. DATE: <br /> 31 <br />