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✓� �/-s-�s-_ <br /> Total Fee• $ �`� �/ � ?=' Date Received: <br /> Entered By: ,��. I�.i >f }�.�y>.i�,;�/ /l Permit#: AvQ.��C� <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 ADDRESS:��� Cr��N i��/S.�tJt ��' c,�� ziP: S��3S`� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑ NO I,fyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to ihe event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��{Q l� � U�C %% PHONE: (home)�t S� 'y�( ° 7�7 fi (� <br /> (wark)7�3 - �'� • S�(( <br /> MAILINGADDRESS: �7�r1' C°c�cJNTi2�/S�f�t P2CITY: QI��1�'i� ZIP: S5 3S1^ <br /> CONTRACTOR: (�t T�SZ�I�' I����S f SI��S PHONE: �/��-�/��-�0�O <br /> CONTACT PERSON: �/''1 'c -{ C MOBILE/P�3'rR: ��a-��i- 3s�G <br /> MAILINGADDRESS: � ll� ���t�SzQ� /3LU��' CITY: /t'l i�l� ZIP: 53�3� <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�: ������v/v� ���'-f-�►/�-r�k,� �C� L <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1��� �ZZ� <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 ardinances and codes of the Ciry and with the State Building <br /> Code;that I understand this is not a permit and work is not to art without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � d� <br /> �__/ <br /> 31 <br />