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�. �-�-�� <br /> Total Fee: $ . !a 08. a$ Date Received: �-�(� ���f <br /> Entered By: r���., Permit#: ,�-��� 3� <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 /> THE APPLICANT IS: (circle one) WNER R CONTRACTOR <br /> JOB SITE ADDRESS: ���� �Gl.� ZIP: _ � � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes,a special erent permit is required with I'olice Department and City Council approval <br /> 60 days prior to the event. Shuttle bus serniee will be required unless applieanf demonstrates <br /> suffrcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ����-� ¢ �CL Vi,�� �� � � �j��C PHONE: (home) �Q�2-�L��-�c��'� <br /> (work) 7 lP� ' a 1-1_S -�� a 1� <br /> MAILING ADDRESS: �t' ', � L' � - CTI'Y: _ZIP: ��J <br /> , <br /> � ' <br /> coNT�icTOR: �c�� k.-� � � �� �, j�����1 �����`�'$�AONE: � `1��-��C�_��3� <br /> CONTACT PERSON: �' � '� MOBII.,E/PAGER: <br /> MAILING ADDRESS: �' {'1'l S �`�CITY: �`1D� � ZIP: �� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � � ►I �C�c rl.e� c��Y" PHONE: <br /> MAILING ADDRESS: �;� (�; ��+'`� CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure _� <br /> Move Home Remodei/Alteration <br /> PRQPOSED WORK(describe in detain: V `�r <br /> �,t�L Tn.�1� v7�J11 Q�C�„� <br /> �� t <br /> STORIES: �/�— �Q.FEET OF EACH FLOOR: � ��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (�(� J� <br /> I hereby apply for a building pernut and I acknowledge that the informarion 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 pernut and work is not to start without a pernut;and that the work will be <br /> in accordance with the approved plan. <br /> �, <br /> APPLICANT'S SIGNATURE: � � DATE: C��� <br />