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�-�" �;�1�� +�s"�--�P � �r � �..1� <br /> � <br /> _� <br /> Total Fee: $ � Date Received: `"�- /Z-�-��� �....J (� � <br /> Entered By: Permit#: t(L �'4-.C� <br /> CITY OF ORONO - BUILDING PERMIT APPLICAT�ON <br /> All information must be submitted in full before plan review�l be started. <br /> (please print all information) ,' <br /> ------------------------------------------------------------------------------------ ------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CO RACTOR <br /> f� �) � C� <br /> JOB SITE ADDRESS: `1����G!`7 ��'Of��� ��v ZIP: ����� / <br /> / <br /> Will this be a Parade of Homes, Remodelers Showc�e Home or other Display Home? <br /> ❑ Yes �NO If yes,a special event pe�•rnit is requir�d with Police Department and City Council app�roval <br /> 60 days prior to the event. Shirttle b�zs service rvill be regziired a�nless applicant demon.strates <br /> sufficient on-site parking is availcrble. Non yermitted events will not be allowed. <br /> �^/ '�� a <br /> NAME OF OWNER: t)//f'L C�(�/2�ii� PHONE: (home) ����� �Y�6���G% <br /> • (work)��2•:,��S`-�!7 0�i <br /> MAILING ADDRESS: `7'�5��/i,r�iy,� �ti CITY: ��Un� ZIP: � <br /> ., <br /> CONTRACTOR: Cl�< ���.,. PHONE: <br /> CONTACT PERSON: ` MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCffiTECT/ENGINEER: '`'� PHONE: <br /> MAILING ADDRESS: ��t CITY: ZIP: <br /> NAME: 12�GISTRATION: # <br /> . <br /> ,_ <br /> TYPE OF WORK: New Addition X Accessory Structure � <br /> Move Home Remodel/Alte�,ation <br /> ,,,` <br /> PROPOSED WORK(describe in detai�: �J/.��D G��/�1l/�C��`�r;G-' G�/011k'%��'s� <br /> STORIES: � SQ.FEET OF EACH FLOOR: �C'�' �� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> : <br /> �l�'�-G' `� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ )v,ci�U �'�� <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and ccurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State�ilding <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work�11 be <br /> in accordance with the approved pla �, <br /> � <br /> � ��� <br /> APPLICANT'S SIGNAT . DATE: ���Q� �' <br /> 31 <br />