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Total Fee: � /� �. �� Date Received: �t'-���-.2�v c�—� <br /> Entered By: ;��� Permit#: ,/-�`�`3;� '�,� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense pf�int all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif•cle one) OWNER OR CONTRAC OT R <br /> JOB SITE ADDRESS:�-,�(� ���U�'�'� � � Sv v-�-� ZIP: <br /> Witl this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, n special event per•r�zit is�•eguired��vitl�Police DeparUnent and City Council crpproval � <br /> 60 days prioi�to the event. Sht�ttle bus service will be regaEired unless applicant demonstrates <br /> sarfficierlt on-site par�king is m�arlable. r1�on-perrnitted events tivil!not be allo�ved. <br /> , <br /> NAME OF OWNER: f�rl �G)� /^ �; � PHONE: (�om)�<">.� " G.5��7 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �//S t�r C��r S � � PHO E: ��� ,� ��,� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �U/ � 3 �� l¢v� i1l,' CITY: /� / ZIP: ���� <br /> STATE LICENSE: # EXPIRATION DAT � : <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �e����� <br /> PROPOSED WORK(rlescribe iii detai�:�����ic� ���� 5 ,T��,,�i.���� T.��'��%� ; ��f�5' <br /> /��Sfi�// ��� �G��i��er �� ��i{S'� �)�rC� S'. �%JSfin/ �.. Dz c: "�✓�C� <br /> Ti�� i!? "�G ��.�iS�i�C �h�,�PS� � ��'P�.4 c',[ J9 S lV r P c%c• ¢- <br /> STORIES: J �Q.FE�T OF EACH�'LOOI�: <br /> NO. OF BEDROOMS: GAI�AGE STALLS: ATTACHEI) DE�'ACHED <br /> EST'IMATED CONSTI2UCTI01�VAL�1A�'ION(exciuding land): � �� ��f'/ <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 confonnance 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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� �� DATE: �'p� C� <br /> ' j <br /> 31 <br />