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�o�� <br /> . t � , � <br /> � - '1 . �' 11 <br /> Total Fee: $ j� ` v �� Date Received: l�� y OS <br /> Entered By: �`�,� v,� Permit#: ,40 9a5� <br /> � <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (/�lease pt�iixt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ._--- <br /> THE APPLICANT IS: (cir•cle on OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �3�L{� C��`(-l_�{ �'�, ZIP: ,L��r"�!� <br /> Will this be Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special eve��t per�mrit is reqziirecl�vith Po/ice Department nnd Ciry Council approvnl <br /> 60 days p��io�•to the ever�t. Shz�ttle bus service rvi!(be required tmless applicant denzonsU•ates <br /> szi f cient on-site parking is nvailnble. Non-permitted evenis will not be allorved. <br /> NAME OF OWNER�(� � lCl-Vl.i�i V' �C�l �CVIQ-� PHONE: (home) �Z`��� <br /> (work) <br /> MAILINGADDRESS:�p�1���C;�'(��1,��-� CITY: ��IiI�I��.�� ZIP:� _ � <br /> CONTRACTOR: PHONE: <br /> CONTACT P�RSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> AI2CHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration�C <br /> PROPOSED WORK(describe in cletrri�: N�,� �y�, K�iZ;�-}E'f�} �`�t�j�"� <br /> �� �I`���-��, ��� ��'Y�1.��A��.T �tiJ��1�..Cfl�= <br /> S'I'ORIES: � S(�.�'T�'I'OF�ACH�+LOOR: <br /> IvO. OF BEDROOMS: _� GA12AG� STALLS: ATTACHEI� DETACHED <br /> ESTIMATED CONSTRUCTION VAL,�1A'�'ION(exclucling land): � ' �� ('J�, �� — <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurat"e';" <br /> that the work will be in conformance with the ordinances and codes of the City and with the State [3uilding <br /> Code;that I understand this is not a perinit and work is not to start withoLit a permit;andthat the work will be <br /> in accordance with tt�e approved plan. <br /> APPLICANT'S SIGNATUR . � ATE: O <br /> �1 <br />