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Total Fee: $ Date Received: -�C3� <br /> Entered By: ��� ��1� Permit#: 3 <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 /> -- ____. . <br /> �'" <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR � <br /> , <br /> JOB SITE ADDRESS: j//� �i/P�„� �.l7�S,o �-, �,cp^� ZIP: S_� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, a special event permit is required with Police Department and Cily Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: L�;��,� ��r � PHONE: (home) �5,�? 5/ �_ �� <br /> (work) <br /> MAILING ADDRESS: ii p ��p���ja��,CITY: �'�prl� ZIP: SS�a/ <br /> CONTRACTOR: f'OSS /_,r -�-Y r DY� L C L PHONE:�` I,y/1��3G/'-��(P/� <br /> CONTACT PERSON: %r.�v�SY ��5�_ MOBILE/PAGER: <br /> MAILING ADDRESS: l��!/ �%�s�,r:(�,y �'it'r�l% CITY: ��t Lc�-i.�cC ZIP: � <br /> STATELICENSE: # .;p�/��U�/� EXPIRATIONDATE: _�' �;�G,� <br /> , <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�: i��. ��- � „� - /"Q��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �;1,��'D <br /> , <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 and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � �� `_ DATE: '`� � G �" <br /> 31 <br />