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, � . � <br /> Total Fee: $ Date Received: �;, �"j �a �� <br /> Entered By: Permit#: ; �„ ' �a�> <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 infoi�mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: l?�� �✓o�,� �� S�, zIP: j--3�,c <br /> Will this be a Par of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, n special event pernzit is reqzrired�vith Police Depar•tn�ient and Ciry Council approval <br /> 60 dnys pr�ior to the evenf. Shuttle bi�s ser•vice will be regz�ired ttnless applicant demonstrates <br /> si fficient on-site parking is availab[e. Non-permitted events will not be allowed. <br /> NAME OF OWNER: C_/L A�� S'�4-�1 N h PHONE: (home) �/$�d_ _�—�,?(o� <br /> MAILING ADDRESS: 1� �-��1�ivt�Ju� �c� CITY: Z512Z��.�'�woZIP: /SS3c� �P,�� <br /> � <br /> CONTRACTOR: S� �� PHONE: <br /> CONTACTPERSON: ,S�-�t,C_� NIOBII.E/PAGER: <br /> MAILINGADDRESS: _5'�€ CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDItESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(desct�ibe iiz rletain: �� (2�-�pr--�/vG� �5�= <br /> f�fl�5� --�' .Q r7�-f����i{�.�tG F <br /> STOI2IES: SQ.FEET O�'EACH�'LOOl�: <br /> NO. OF BEDROOMS: GARAGE STALI,S: ATTACHED DE'I'ACHlED <br /> ESTIMATED CONS�'Ri1CTION VALiJA�'ION(exciuding land): � f-� �j� <br /> I hereby apply for a building permit and I acknowledQe that the infonnation above is complete and accurate; <br /> that the work will be in confocmance with the ordinances and codes of the Cit�� and with tlze State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and t11at the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �3--ZS,,S� <br /> 31 <br />