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� <br /> . <br /> Total Fee: $ �' � `' � �� Date Received: �-o�� "�S� <br /> Entered By: 'yV� Permit#: /3 0��7.� <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 O RACTOIj� <br /> ��.......,. <br /> JOB SITE ADDRESS: S�d � �GT'v�Y� �� � ��T}�� ZI P: ��S �: <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �10 1��yes, a,special eveni pe��mi1 is reyuired with Pulice Depardment nnd Citv Council ap��rov�l <br /> 60 days prior to tlre evei7t. Shrdtle bu�service will be reyuired unle.c��c�pplicar��demo�actrate.c <br /> su��icient on-site parlrin�i,s ai�ailahle. Nun-perrnittec/events wi!!no!he allowed. <br /> NAMEOFOWNER: �l('���(Z� ���(�,LrC'� PHONC: (home)��l '�� � (� � �16� <br /> /� (work) <br /> MAILII'�GADDRESS: 3SC� JKbU��`� �1J ,SD CITY: (���J�L_ZIP: �,3��(� <br /> � <br /> CONTRACTOR: j�-�E�6(� �2os C.,U�v�/1 C3d(� PHONE: �J L -�3 S ���(,. 1.� <br /> CONT�CT PERSON: �rE�/E �D��k MOBILE/PAGCR: �� � <br /> MAILII'G ADDRESS: r'. �J�ti1T1�1 t�,f� IU f CITY: �1��'�S ZI �—�...��/,S � � ' �� <br /> STATE LICENSE: #�G Z����� 3�? EXPIRATION DATE: U 3 3� Z�C�G�� '�' � � � <br /> -� � � �, -�'° <br /> �, '� <br /> ARCHi1'ECT/ENGINEER: PHONE: �V <br /> ti <br /> � MAILING ADDRESS: CITY: ZIP: ��J �� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Access,ory Structure <br /> Move Ho�ne Remodel/Alteration �__ <br /> �J �p � <br /> PROPOSED WORK(describe in detain:�(7 P(/4 L� fJ�'i"1 C � 07�� { � f1� J�c�'�u�f� <br /> a��� ��r��� �,� ;� �f ��Ir�,� ��, � ' ��1�� � ��€��o��e,� p��� ��� ���-�rl Ct r-fa��� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �� — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �-� ��?� � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> tl�at the work will be in conformance with the ordinances and codes of tl�e City and witl�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 /> v �p <br /> \ � <br /> APPLICANT'S SIGNATURE: � � DATE: YU �� <br /> 31 <br />