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. �;I t_�t � �:��� <br /> Total Fee: $ �� � Date Received: � ��� <br /> Entered By: ,ii j�'Yt� ��'t--' Permit#: �j��'OS� <br /> � . ' <br /> i_ ; . .. .�r j , I ��; <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��i�zt all infor•t�iatio�t) <br /> THE APPLICANT IS: (cia•cle orte) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: 3��� 1�y �,`-�.r �2� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If>>es, a special event per»ait is r�eyirired witlr Police Depm�tnient and Cih�Counci/approval <br /> 60 d�iys prior to the event. Shuttle bats service will be required u�iless applica�at den:onsh�ates <br /> su�eient on-site pa�-king is availcable. Non perrnitted events will not be allowecl. <br /> NAME OF OWNER: �d�1 r�h.���o�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ���� CITY: Z1P: <br /> CONTRACTOR i vc, ',� -,rt 1� J'c, PHONE: ���3- ���•v- �,�y� <br /> CONTACT PERSON: • MOBILE/PAGER: ti1 � 3� y2-'d 2��y� <br /> MAILINGADDRESS: �I(QD f3/zOCYC-fdN Lq! <[/, CITY: ✓l �r �, ZIP: s.�i/ <br /> STATE LICENSE: # -�.�p p �,�-� S� EXPIRATION DATE: ,� - �/- f�5 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Hoine Remodel/Alteration � <br /> PROPOSED WORK(desc�-ibe in detai�: [�a,� J��'� C1.�1's J'C?�cl/'� t/•�-r �a <br /> Y J�(''G1Dz. ��C[9� /ll <br /> STORIES: �- SQ.FEET OF EACH FLOOR: %(p f� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> o G <br /> ESTIMATED CONSTRUCTION VALUATION(excludingland): $ 3a. oa c "i <br /> I hereby apply for a buildinb permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confornlance 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 /> r <br /> APPLICANT'S SIGNATU DATE: jQ •� �' 7-c�0 �/ <br /> 31 <br />