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� �a��� <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 CONTRACTO�=� <br /> JOB SITE ADDRESS: �So iJ2��..,-+� �t O , S. ZIp; �S 3 SG <br /> Will this be a Parade of Homes,Remodeters Showcase Home or other Display Home? <br /> ❑ YCS �❑ NO /f yes, a special event permit is required with Police DeparUnent and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �ic�/�•o �'f%���`'�/ PHONE: (home) !�'S.?-y76—G/6 9 <br /> (work) <br /> MAILING ADDRESS: �Sa �l,e��...- ,en s CITY: O.ro�"� ZIP: rS'Ss'G <br /> CONTRACTOR: j//ht,�iz wi••�oe�... �;ou�n l'•-•�.�">,��rS- PHONE: /�5.2 �77 '!G 3� <br /> CONTACT PERSON: �C,�' �- MOBILE/PAGER: G�Z- G/G - G So G <br /> MAILING ADDRESS: /a�t/ OA'L'46sir� �c�-�> CITY: _��►/�/s�.�'S ZIP: t ST�/,3 <br /> STATE LICENSE: # ,?a�7.�9 ��y' EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, indows �- <br /> PROPOSED WORK(describe in detai�: /.vs>'�rz� �,-,-.�d�.-s i.--� S.�F <br /> .f/2 f G/>FXi.-- G S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /�Si �-��, �U <br /> I hereby apply for a building permit and 1 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 /> APPLIc�T'S SIGNATURE: ,�!�-� � DaTE: y � �/d� <br /> �..�. <br /> 31 <br />