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�V�'�G'u�i r� Si�,� <br /> rn�:�r - n�� <br /> ' ��e- ����� <br /> C�ccc,�e�nc� . <br /> � `� c�(�� r��ti1���� <br /> Total Fee: $ ��-2 Date Received:�- '�''C^] <br /> Entered By: ;?a ' �iv���,c� --�� � ��� � Permit#: J�-1 t lQ � <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 OR�ONTRACTOR� <br /> JOB SITE ADDRESS: �2 ; C:1�CJy ��_��v� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ lv0 Ifyes,a special event permit is required with Police Department and City Council appi•oval <br /> 60 days prior to the event. Shuttle brrs service will be required unless applicant demonstrates <br /> sufficient a1-szte pm�king is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �p��-�A.�Il- �vC�-^' PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �Zg C�c�(_.� CITY: ZIP: <br /> CONTRACTOR:� - � �- PHONE:C(os►��,3�-�3yyG ., <br /> CONTACT PERSON: � OBI /PAGER:(��)-7'�S 3�O <br /> MAILINGADDRESS: Ig � o� ? Y: I�J � ��.h -, ZIP: 5�`►2-r" <br /> STATE LICENSE: # � S�cj�-t� I � 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(describe in detai�: ZU �-y C) �q�n�,,,,��►_ �;,;_. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $15,.O(� <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 conforrnance 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: ����l��' <br /> ��i`��?!� 5 <br /> 31 <br />