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� � <br /> Total Fee: $ � ��' �� DateReceived: B" zb ' O� <br /> Entered By: �.,t;' ;�,,,-,x� ���- Permit#: f�D9//7 <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 CONTRACTOR <br /> JOB SITE ADDItESS: ���C I_`��� ( �-,?�J�� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wiU be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed <br /> �� � <br /> NAME OF OWNER: _��.0]�_> � � C�d�PHONE: (home)Co5/- yi�,a-loy7� <br /> (work) G�1��I-G��>3 <br /> MAILING ADDRESS: ,�3,� ( �'v�,V C I CITY: �7�,v,Q�oi79 ZIP: ��.�O <br /> CONTRACTOR: �,L�i'V �;`��9-/�� PHO E <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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�: /'a K j�( � ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��C>C�G' .C>b <br /> I hereby apply for a building pennit 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 /> t r � '� <br /> APPLICANT S SIGNATUF;I�� - ; /�'�C— DATE: � C� <br /> 31 <br />