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, <br /> Total Fee: $ !'�� 5�' Date Received: �� ��—��� <br /> Entered By: Z� Permit#: f1D9o?�' <br /> �/yy�`� ��'�I Z%U`� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �WZ C��r.�v�r \..�c��� I.�������� ZIP: �"-�3`�I <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specral even!per•rnit is required with Police Department and City Coa�nci/approval <br /> 60 days prior to the event. Sharttle bus service will be�•egttirecl i�nless applicant demonstr•ates <br /> s:fficient on-site parkij�g is availab(e. Non-per•rnitted events 1vi11 not be allowed. <br /> NAMEOFOWNER: �Re>�.�� �«nr�� �ti��x�� PHONE: (home) �Sl���l�-`T9Z.k <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �'Rw�.t;c��;u� ��xr�SS L,:;�,c�c�o�.c�s ,j,��� , PHONE:��� �;H-l3`i� <br /> CONTACT PERSON: Sc.����- '��, e MOBILE/PAGEI�(�S►� �r�� - ��='` 3ti t'!S� <br /> MAILING ADDRESS: '�,�f I LZ �:1��� i.� CITY: ��;v���-�<�� ZIP: SSZ��`—I <br /> STATE LICENSE: # �.oS,Z�t'1�,S EXPIRATION DATE: 3 31��'oc� <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(cle.�cribe in detain: ���ti1����-� .�v�5�-c�`c��o�� �=�'1� <br /> ���S��`� �,;�. v�c�`l:v <br /> S�'ORIES: SQ.FEET OF EACH FL,0012: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> c ��� <br /> ES'I'IMATEI)CONSTI2UC'�ION VAL�1A�'ION(exciuding land): � �S�%! <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the Citv and with the State Buildin� <br /> Code;that I understand this is not a permit and work is not to tart without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> / <br /> APPLICANT'S SIGNATU .�,, a � DATE: � g ;�'C�.� <br /> 31 <br /> E�. <br /> :1 <br /> 1C <br />