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Total Fee: $ � Date Received: �� � <br /> Entered By: " _ Permit#: U a <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf�int al[inforntatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> 'THE APPLICANT IS: �Cll�cle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � �� �('���6,��i�4�c,r^ �Q ZIF: <br /> . � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specia!event permit is f•eqc�ir�ed with Police Department arzd Citv Council approva! <br /> 60 da��s prior to the event. S1lerttle bus sejvice wi!!be required u�iless applicant�lemonsh•ates <br /> sirfficie�zt on-site pc�r-king is trv�iilable. No�i pernzitted eveizts tivill not��c��ved. <br /> . ��}y. <br /> NAME OF OWNER Q�j^T ��,,i�Ci..��.SnP�1�-- �,�.1 �' PI�[ON�:(l�e) �� -�31 <br /> � (�} C�3 <br /> MAILING ADDY2ESS: ���(� k CITY: r�o ZIP: �-�� <br /> .� �//.5 _.� <br /> CONTRACTOR: � ✓' �,�� c— PHONE: - � <br /> CONTACTPERSON: ✓� �� MOSILE/PAGER:�S'�1 �4�j -���� � <br /> MAILINGADDRESS: �� /�-�,o„�_ CITY: ZIP: <br /> STATE LICENSE: #��(��(� EXPIRATION DATE:�'� <br /> �/(�) <br /> ARCHITECT/EIVGINEER: ,�rU�� �.�°����✓� PHONE: �'.��' �?��� <br /> N�IAILI\G ADDRESS: �((� ���1`��,, ��c �(.?• CITX: ' � ZIP: ��� <br /> NAME: �, ,'��.s� � REGISTRAT ON: # <br /> 7['YPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED`VORK(describe in detain: /��� ��_i�.�'-�v�'Uc ��`���.., , ���� (� <br /> �,�_�,����„ <br /> � � �� � ,,,[, <br /> S'�'ORIES:_2�', ►-�e�r�l�Q.FEET�F EACI�FL0012: S' �02 f�' <br /> NO. OF �ED�t00:�15:�_ GARAGE STAI..I,S: A'�'T�.CHED� DETACI-�ED_ <br /> ESTIMATED CONSTRUCT'IOI�VALUATION(excluding land): $ �(.�� ���`���� _ <br /> I hereby apply for a building perniit and I acknowledge that the inforniation a�ove is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of t ity and with the State Building <br /> Code;that I understand this is not a permit a wor is not to start wit ut a pernlit; and that the work will be <br /> in accordance«�ith the approved plan. ' <br /> , �� _ - <br /> APPLICANT'S SIGNATURE: DATE: � � � <br /> r`"` <br /> 31 <br />