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� <br /> I � <br /> ��l <br /> Total Fee: $37�. ��O Date Received: �d <br /> Entered By: �Yj� Permit#: � (� �---- <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 CON`TRACTOR <br /> F 5:J <br /> JOB SITE ADDRESS: (�' J --����(� `� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S ❑ NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prio��to the event. Shuttle bus ser�vice will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: +I G��2 ZGZ C� , � (� PHONE: (home � �I"���'�j`j� <br /> �tj L-��c.�o�� �f�v� (wo k) <br /> MAILING ADDRESS: i� CITY: ��,�' � ,q��IP: ,��I�i�' <br /> � <br /> � �l�-��, � � , �� <br /> CONTRACTOR: '�S I r►1� c:- PHONE: �Q�Z-�J��`��� ��j <br /> CONTACT PERSON: ` � OBILE/PAGER: 1�/Z•-'�g�-{-y(�e.�� <br /> MAILING ADDRESS: � '� ✓ CITY: �^l�lc��f��'fr�,�,.� ZIP: �� 35 g <br /> STATE LICENSE: #�L �� EXPIRATION DATE: .�1���� ��y <br /> ARCHITECT/ENGINEER: � PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may requir �MC,,WD� � review and permits! <br /> PROPOSED WORK(describe in detai�:��r�-��,-� +���1 Q-U'�'(� <br /> _�-����!� ���� <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR:��r � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � Z-� �d � <br /> I hereby apply for a building permit d I acknowledge at the information above is complete and accurate; <br /> that the work will be in confor� nce wit e ordina es and codes of the City and with the State Building <br /> Code;that I understand this is no a permit a wor not to start without a permit;and that the work will be <br /> in accordance with the approved an. <br /> APPLICANT'S SIGNATURE: DATE: �� �`' /� <br /> 31 <br />