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a, � <br /> � `�,', q .u, nS <br /> Total Fee: $ .���'• `�7 Date Received: �� ��� / <br /> Entered By: Permit#: � /� ' (�5 <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: � 4 �� I�'�,�;�;,;r. 'I���:� ��;c���"h ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO lfyes, a special event permit is required with Police Department and Ciry Council approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 1'1'�c,,,� 5�1��;c.,- Zm�,�.n; PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: g�� ���,,;,� �.1�, ,1;cr 1`�, CITY: I-�� 1�.:., c ZIP: <br /> CONTRACTOR: N;s�npa� ('ohs�r�c�•`,n PHONE: <br /> CONTACTPERSON: S'c��-�k ��e.b.c:- MOBILE/PAGER: �;��-o�\- �,���/ <br /> MAILING ADDRESS: � p, ,���,5 �6 S I�� 7'v. CITY: �r�,,�;�:� ZIP: ��''�'� <br /> STATE LICENSE: # �C �c.����.3_�i� EXPIRATION DATE: �3�-.3� -c�s- <br /> ARCHITECT/ENGINEER: �1- �P �1 t�hn,►� � U�S,�,n, PHONE: <br /> MAILING ADDRESS: �t�tx $<►1�„�` 5�- t�� ,5�.�f�Y�CITY: ;P�,�an� ZIP: 5 y <br /> NAME: i��..�, m,��k�%�,� REGISTRATION: # <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: ,1,1,n,: � ��k � �c�z� ���r�1� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����� [�v� <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 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 /> APPLICANT'S SIGNATURE: DATE: �1��-bS' <br /> 31 <br /> � <br />