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uM- �" � " � . <br /> � <br /> Total Fee: $ a,�76. �29 Date Received: �=�7�'�" <br /> Entered By: �r Permit#: -�,L,' `l��j�^� <br /> CITY OF ORONO - BUILDING PE IT APPLICATION <br /> All information must be submitted in full efo e plan review will be started. <br /> (please print all in orn ation) <br /> THE APPLICANT IS: (circle one) OWNE�2 O CONTRACTOR <br /> JOB SITE ADDRESS: � r ✓� � ZIP: - �f <br /> i <br /> Will this be a arade of Homes, Remodelers Showcas Home or other Display Home? <br /> ❑ Yes �No If yes, a special event perrnit is reqarired tivi h Police Depar-t�rrent and Ciry Coamcil approval <br /> 60 days prio��to tl�e event. Shzrttle bars servi e tivill be r�eqa�ired zrnless applicant demo��strates <br /> sz�cient on-szte parking is available. No pe�mitted events will not be allowed. <br /> NAME OF OWNER: ` a.J �'L %' fJ n; T c� PHONE: (home) �t 5 Z- `���-�y S�G <br /> (work) � �2- s���-Z�3 � <br /> MAILING ADDRESS: � � 5 T��K� ;,c.'A� ITY: c� R�'l�C� ZIP: 1�5-351 l' <br /> CONTRACTOR , � � PHONE: ,��I Z-52i��z �3 � <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # E RATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: GISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/ lteration(ie: Siding, Windows) <br /> PROPOSED WORK(descrihe in detai�: <br /> STORIES: SQ.FEET OF EACH FL OR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excl ding land): $ �-5�0 Dov <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and odes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to st rt without a pennit;and that the work wi11 be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� �, DATE: � - 2 � Ol� <br /> 31 <br />