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7� <br /> �I r; �- , � <br /> Total Fee: $ ��'' � ��'��� Date Received: � � �� � <br /> Entered By: ,tL� " :�/l�✓ �l%;-'�- Permit#: c�i � " `-i <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: ���N �A�z� �A,��- �� 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 required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: ��t�- i ���'R �p1����� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: I�12y l�Ru)r� ,Q,Q-�K �1? CITY: �a c,v�� ZIP: S�3�� I <br /> CONTRACTOR: N'i!�-i i l��h WJl?i PHONE• ��-1— ��-r� ���-� <br /> CONTACT PERSON: M��Y �-v N��-��= ��% MOBILE/PAGER:. " `` <br /> MAILING ADDRESS: ;��:o Z r r�.�%� �i CITY: '-.�s��Vy; ZIP: -S;'% :>; <br /> STATE LICENSE: # ^�-' I���t:�'7; <br /> ARCHITECT/ENGINEER: �1(i� �1�F�0���h� PHONE: 7�'�-- 2;,�-�;�)� <br /> MAILING ADDRESS: �C�"L �Y��►�5 i CITY: t}r�5"�i i�t ZIP: `:�'"� <br /> NAME: _ (��t,k� �f�GC�fit�t� REGISTRATION # <br /> TYPE OF`VORK: New Accessory Structure c� <br /> Addition Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ����4& vc�� �,;'4= ��� <br /> �I�G��,�,� �����.�,���icu,� �,�e�� <br /> s <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���(1 � t�� <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> -�, <br /> APPLICANT'S SIGNATURE: ,GUM / <br /> IATE: �j t C <br />