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� Date Received: �- � s <br /> � Total Fee: $ ���c�� �� � � / -O <br /> (i,�� Entered By: ' ;ti Permit#: /408599 <br /> 3�1'` - <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 O CONTRACTO <br /> JOB SITE ADDRESS: ����� �'��oa i��'(.-��� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �0 Ifyes,a special event pe�-mit is reqa�ired with Police Department and City Council approval <br /> 60 days praa•to the event. Shzrttle bars se�vice tivill be reqtrired unless applicant demonstrates <br /> sufficr�ent o��-site pa��ki�zg is availahle. Non�eri�zitted events wzll not be allotived. <br /> s�+�� <br /> NAME OF OWNER:�� d- �;:_��.:� �'.�'�I�NE: (homex�' �11 I�s7� <br /> (� � `� (work) <br /> MAILING ADDRESS:��C��L�SC`t'���;�'��ITY: �-t�^�� ZIP: `-' "� J <br /> CONTRACTOR:'�` ���?N. �� ,n�- PHONE�����'77�'3"rL{O <br /> CONTACT PERSON: � ,� -,���. OBILE AGER�(E,�-7 �S--?f�,�y.ci <br /> MAILING ADDRESS: � > � :.:StJt, CI : �JG,r.,��ti�d�-�.�ZIP: 5�1�'-� <br /> STATE LICENSE: `� - XPIRATION DATE: <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 <br /> PROPOSED WORK(describe in detai�: �(]�-�Cj_��_���`�,,.,,n�-� �a�I <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �`j, C�� <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 pe °t and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. , <br /> � � <br /> APPLICANT'S SIGNATURE: DATE: 1� IG � <br /> �5j����� ��S <br /> 31 <br />