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. � ���`.�" � <br /> � - � a -�-�..� <br /> Total Fee: $ (D g7.�g Date Received: �- (p— O� <br /> Entered By: Permit#: .al��/�1;3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prirtt all information) <br /> ----------------------------------------------------------------------------------_.._----------------------------------- <br /> , � __\ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> �\� � C� <br /> JOB SITE AllllRESS: � `L� �.��(� ��G�� ZIP: � � ` � <br /> ' Will this be • arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS NO Lf yes, a special event permit is regzrired wilh Polzce Uepaf7ment and City Coau�cil npprovnl <br /> 6�days prior to the event. Shtrttle bzts service tivill be regt�ir•ed zrnless applicant denra�strates <br /> s rcient on-site parking is availabfe. Non-permitted events will not be allorved. <br /> NAME OF OWNER: l ���E PHONE: (home) <br /> 7 ( (work) <br /> MAILING ADDRESS: J12� �a.�t��Cd'GI�.CITY: v`O ZIP: �3S b <br /> CONTRACTOR: � ��� U�l ' 1 1��I PHONE: �'/ � . �-(-��-3 <br /> CONTACT P�RSON: �- MOBIL /P GER: � _ <br /> MAILING ADDRESS: CITY: ZIP: p� <br /> STATE LICENSE: # ��j�(„ EXPIRATION DATE: - ZC,O <br /> Al2CHITECT/ENGINEER: PHONE: <br /> MAILING ADDRF,SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PRO. SED WORK(describe in detain: '�]CG � �� k (o .,,`�,,�'`�,,,�,�-- <br /> ��� ' Z x l � <br /> �'I'ORIES: I SQ.�F�'T OF EACH FLOOR: I�� <br /> NO. OF BEDROOMS: C GARAGE STALLS: ATTACH�D (� DETACHED c7 <br /> ,�.� <br /> ESTIMATED CONSTRiJCTION VAL[TA�'ION(excluding land): $ �, ��� <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 a' d work is not to st• -t without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: llATE: �-- � - �� <br /> 3l <br />