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, - <br /> Total Fee: � � ��� �� S / Date Received: �-���-��� <br /> Entered By: ^ Permit#: J������� �/p <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print all informc�tion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ---- --- .�_ <br /> THE APPLICANT IS: (cif�cle o�ze) OWNER ` CONTRACTOR <br /> JOB SITE ADDRESS: �=�t�J ���-���v�'� �� � � ZIP: � ������� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Dispiay Home? <br /> ❑ Yes �o If yes, a special event pe��mit as required��vith Police Department and Ciry Cozmcil approval <br /> 60 davs pi�ior to the event. Shzrttle btrs ser•vice will be regz�ired unless applzcant demonstr�ates <br /> sa fftcient on-site par�king is availab/e. Non-per�mitted events tivill t�ot be allo�ved. <br /> NAME OF OWNER 1 �=G�C� �- �C-1 I�-�.C� �0 I �1G'-�PHONE: (home)�-l%'I Z ` ��Z. ���� <br /> (work) <br /> MAILING ADDRESS: ��� �1��-���F3�'��-� �CITY: � �,R/Q.-��'C��IP: � <br /> CONTRACTOR: �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION 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(�lescribe in d ai�: � 'f`�1L`,�-��1U✓ `(1 ��� �^%�--�� <br /> , <br /> ,1��' �� �'� ���� � �JV��Y <br /> S�'O�tI�S: 2--� 5Q.FEET OF EACI��'I,OOIZ: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEI) DETACHEI� <br /> � <br /> �S�'IMAT�I)CONS'�'RUCTION VAL�Jt�'TIOle1(excluding lanc�): � � { <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I tmderstand 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 approy��-�1 . �, <br /> APPLICANT'S SIGNATURE: � DATE: C� � <br /> 31 � <br />