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�� � ����o�� <br /> � � �w� �`� <br /> -�`� <br /> ` Total Fee: $ ��-�"�`�• '�'� �ate Received: �- �� D � <br /> Entered By: / , ��'�� f Permit#: �_ , , �,�8" �,35 <br /> / <br /> CITY OF ORONO - BUILDING YERMIT 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) COWNER�OR CONTRACTOR <br /> -� <br /> JOB SITE ADDRESS: ��� �'r�o S }' v'�e c� 17.� ZIP: S�� 3 S��� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �1v0 If yes,a special event permit is required with Police Department and City Council app�-oval <br /> 60 days prior to the event. Shzrttle bars service will be reqz�ired unless applicant demonstrates <br /> st fficient on-site par•king is available. Non permitted evenls will not be allowed. <br /> NAME OF OWNER: �''��' �S ��`� � � �s � PHONE: (home) l6 3 y� �� i� / <br /> ��t� (work) �/Z�'6� /�•�a <br /> MAILING ADDRESS: ��Sz� /�70?�ic�? ��-' CITY: �"1����1� �i%c�'vF ZIP: �3 3E. . <br /> CONTRACTOR: C�c.v,v-�,� PHONE: 7� �� �c� �/r' `� � f <br /> CONTACT PERSON: L�L v t� MOBILE/PAGER: L� l Z_ �' N�' /�(f> <br /> MAILING ADDRESS: �-,�� CITY: ZIP: � <br /> STATE LICENSE: # �/���- EXPIRATION DATE: ti�/ •�- <br /> /��/�� O`�'t�_r�: <br /> ARCHITECT/ENGINEER: �'?r c;�zv ����'L-f'�� PHONE: Z C 3 bZ/�- /i��G, <br /> MAILING ADDRESS: ,� CITY: ZIP: <br /> ���,��, <br /> NAME: c���t��,�z�,� V�_=�.2,+-c , �— REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detain: ��z=� c� �.s �.�✓G s-'r-�.�.-r �;- f� ��8�7 yI' <br /> q-���>����� j M C.�--t.�-:�- --f' sF�1,� .4vDi77 0.�.;.�_ E ' e�� itJa.t rtf 5 iv� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_. �G S� �'�'Z' <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 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 /> .--- <br /> APPLICANT'SSIGNATURE: ��"'�/ � t�"- , �.. DATE: ��-��- ��� <br /> 31 <br />