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.� � � �� . ��� <br /> Total Fee: $ �i�%�� � ��_ ;�l u'��� Date Received: 7�2.t���Oc�S <br /> Entered By: ,;�v. Permit#: ������ ����J <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[I information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> _ � <br /> JOBSITEADDRESS: ____,� 7 3 Z. Yt�Ir.� ,qj/-�. ZIP: � 3 � <br /> Will this be� P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffcient on-site parking is available. Non-permitted events will not be allowed. <br /> /d� <br /> NAME OF OWNER: (���J� (C � �v-� C'�"C�v�� � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: � 7 JZ ���c���y� i� CITY: %��,t, c -z ZIP: j S 3 � �� <br /> CONTRACTOR:���� � �o�✓1�i��,,,�I� �S PHONE: c/" S� �l��/� �/Z� <br /> CONTACT PERSON: ' , MOBILE/PAGER: i 2 � ��CJ O�1� <br /> MAILING ADDRESS: � � ��l e e CITY:L.��e jS�v✓ ZIP: 5 S 33/ <br /> STATE LICENSE: # � EXPIRATION DATE: <br /> ��� �� <br /> ARCHITECT/ENGINEER: � ��C��1 S��crwS� r; PHONE: �7�(� � �2 j � `� � <br /> MAILING ADDRESS: �- CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> e <br /> TYPE OF WORK: New � Addition Accessory S ructure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detai : (�Y«� <br /> (/1.��� �: r �E' Z ` - tit. � <br /> STORIES: �� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �j �� � <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: ��� ��i�l���TE: � <br /> �� ��U� <br /> — ( <br /> 31 <br />