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' Total Fee: $ Date Received: /-�i'--5� <br /> Entered By: ,t� ti,� , Permit#: � ' � , � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf�i�zt all inforntation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��(9 � (��r��, ��, Cl�,;n,/;� r�N- ZIP: S�3 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, n special event per•mzt is r•eqirir�ed i�vith Police Departn�ient and City Council approval <br /> 60 dnys pr�ior to the event. Sht�ttle bus service tivill be reguir•ed zrnless appllcant demonst��ates <br /> sct�cient on-site parkir7g is available. Non-pern�itted events wi11 not be allorved, <br /> NAME OF OWNER: Crf'c�r�-� ��, �c ,.i�� PHONE: (home)�i j� y7.S�Z7SJ <br /> (work)'�a��- 7 ,— �,��c� <br /> MAILING ADDRESS: Z,�'�o C����r';J'.��� D�,. CITY:C/���� ZIP: .�S.jS <br /> CONTRACTOR: �,n UZ� �� PHONE: � <br /> CONTACT PERSON: �n, U�, � MOBILE/PAGER: ��.'r c<,` � �- ,��j�f 3 <br /> MAILINGADDRESS: CITY:.J;��c����_�: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> AR��ITE,�`Pt�N�INE�R����� C�� PHONE: �7s- �(l�t <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descl•ibe in rletcrin: �� X �a,.,d,��,e�P�' a� �'rv2, <br /> %? n �^I i lt t'Zi r n, � ('e �i . '/�1-. J /'U�.c-,�o.?,u�J , <br /> �.,�;NS iy' ��� Z' ��'� <br /> STORI�S: ( �/z � S�.FEE'�i'O�'EACI�FI,OOR: �o v�� �u,," /os C� %��l,`�`Uf�rc�w(1'pa<�) <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED DETACHED �- � J <br /> ESTIMA�'�D CONSTRi1CTION VAL�TA�'ION(excluding land): � �-��d 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 conformance with the ordinances and codes of tlle City and with the State Buildin� <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: � C� DATE: �/Zl e�s <br /> 31 <br />