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- � ,.,�,2�,o� <br /> ' �� `����� <br /> ' Total Fee: $ �.3, DateReceiv�: , <br /> Entered By: Permit#: T /2S/r�.� <br /> CITY OF ORONO -BUII.DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (jnlease print all information) <br /> o w <br /> THE APPLICANT IS: (circle one) OWNER O NTRAC <br /> JOB SITE ADDRESS: � a��� ���N��a�� vV��1 ZIP: <br /> Will this be a P ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes �NO If yes,a special event permid is required wdth Police Department and Cdry Councid approval <br /> 60 dcrys prior to the event. Shuttde bus service widl be required unless appdicant demonstrates <br /> su,�"zciend o�r-site parking is avaidabde. Non permitted events widd rwt be aldowed. <br /> NAME OF OWNER: �IAI �'t�,� ' ' c���L-PHONE: (home) Ql,�2P��'�=�J <br /> (work) <br /> MAILINGADDRESS: �M��-�'j S i� CITY• ZIP: <br /> corrrRacTOR: �1�'�' ,�>5�1�.5 lAl�. rxor�: ?�3 3�P��37 <br /> CONTACT PERSON: f� OBILE/PAGER: � <br /> MAILING ADDRES5: 7 ' CITY: 1���+ �ZIp; _� (,'� <br /> STATE LICENSE: # �,��� �/ EXPIRATION DATE: D3 P�� <br /> ARCHITECT/ENGINEER: f�1�kk PHONE• <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) <br /> PROPOSED WORK(describe in detai�: �:���� �I�0 S �1 <br /> STORIES: SQ.FEET OF EACH FLOOR I �Z l� <br /> NO.OF BEDROOMS:� GARAGE STALLS: ATTACHED '� DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding 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 cades of the City and with the State Building <br /> Code;that I understand this is not a permit d w rk is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNAI'URE: DATE: �"�"�� <br /> 31 <br />