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'6 `y 1, W;*t1' r- S -- S-p6 <br /> Total Fee: $ Date Received: <br /> Entered By: � Permit#: <br /> CITY OF ORONO - ING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------ <br /> THF. APPLICANT IS: (circle one) OWNER OR ONTI ACTOR <br /> JOB SITE ADDRESS: �1 �nJ A�P �� O r _ ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes [TNo 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 /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: _ - C.fkT_1�p Q J_ PHONE: (home) S oZ `l7 b y4 ,t 3 <br /> (work) <br /> MAILING ADDRESS: J k nit 4 CITY: ZIP: <br /> CONTRACTOR: �, r q�t►� S C�i/�N PHONE: G S 1 79 S 9� 7 `7 <br /> CONTACT PERSON taev l �t, rst.A MOBI /PAGER: G�� YI�-1 ISM <br /> Lf <br /> MAILING ADDRESS: <br /> S S f ��H L�� I/ _S CITY: 4'-V ��l SCP) ZIP: 5_567i'( <br /> STATE LICENSE: # 7 -7 q 3 EXPIRATION DATE: d 'T 0:7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: <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 detail): �:,s � S �"'�h ��f} s I ��"e <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ r 6'o o <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 /> APPLICANT'S SIGNATURE: "E------ DATE: <br /> 31 <br />