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, � <br /> _ G. <br /> Total Fee: $ _� �• � Date Received: F��j ����'�' <br /> Entered By: /�.-G� 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� CONTRACTOR <br /> JOB SITE ADDRESS: 2=�? �("�,'��t�".t�) T"t t� ZIP: ��� '�` �'.`. � <br /> � ..� „� ....�._a C;�;Mz <br /> Will this b a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes o !f yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to Ihe event. Shuttle ba�s 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: �I+VI'� � ��„�f��,- ���1'�i�'"�HONE: (home).:�,�,.�w�,+:�•.�'� � <br /> ` (work) <br /> MAILING ADDRESS. = : �,� �1 G�-' ! � ,�. <br /> � C'�ITY t� �a ZIP: � �� <br /> �:„.r 6f�:::.. <br /> CONTRACTOR: < .;� � �, ? �� �, , PHONE: <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 detain: ��t-•� j��, �,'�-::�.� '�'1��t�i ,�����-�.�;�fw� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ����� <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 wark is not to start without a permit;and that the wark will be <br /> in accordance with the approved plan. <br /> � ` � ,1 r' <br /> APPLICANT'S SIGNATURE '` , �` r:`� � �" �`�-.���"'�'``-: <<.> DATE: �;UG:�G , <br /> ����. <br /> , <br /> � � �'` <br /> 31 <br />