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- � ; � �� �C� �S� z� <br /> Total Fee: $ F ���- `� �' Date Received: <br /> Entered By: ����e..,�"/�C,���`v� Permit#: �{ / �j —O <br /> h�,�� „ ,� _ <br /> -t� r�.������ �r _ � <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 information) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��C� � i 9 ��S �� �n� 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 re�uired with Police Department and Ciry Council upproval <br /> 60 days prior to the event. Shcrttle bc�s sefvice will be r•equired zrnless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �e��. r � 4..0. � !�10�K C�Sdh PHONE: (home) R �J�8�;�y�� <br /> (work)lL 1,r h-,.�.Ss_) <br /> MAILINGADDRESS: �C�•.�c7X 2,��� CITY: ��Ce(,S ior ZIP: �� <br /> �--.--CU�T'F�A�TO�Z: ` PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: QE'_'tP��p./'/Ce C.SGv� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory,5�tructure <br /> Move Home emodel/Alteration 1� <br /> PROPOSED WORK(describe in detai�: .�-n c L o,s 7'�' O �.l r S d� �.l S t!� ' �o�'� � <br /> � <br /> �h�_11�s�-' �L ve�r �'.3��X 1�(};�ro w0.,� �-S �i3���,Z. w�„C (, /h'� 7�,vi►�do�,✓s Q co ri c�-g�t ac+;�l� ,� <br />!J�ls/� ��-( OL ��,��� -.�i...,""s 16>C�f'r', wlth .it�L l ;.A11'�10It'�C,J.�. w��f1 Q ��X�� S� �� ��"�'�������'�r��' � <br /> STORIES: � 2 SQ.FEET OF EACH FLOOR: � 7� Po�4�' <br /> NO. OF BEDROOMS: ..� GARAGE STALLS: ATTACHED -- DETACHED — <br /> ��, <br /> r , � �-.S� <br /> cG ;: ,; ,� � _f� �_- ,.�, <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_��SUo � ,n c1 ur�i�� <br /> ��n���, c��o rk <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: �.�C.� C� � ' TE: <br /> 31 <br />