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Total Fee: $ DateReceived: ��-�-�"L�� <br /> . Entered By: ./,�'Y� Permit#: �Q��(,p�j <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pt•int all infort�tation) <br /> THE APPLICANT IS: (ci�•cle o�te) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: _� ,� � � r'f,S � �/ � C w' �� f� ZIP: � �� �r� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If��es, a special event permit is re���ired with Police Department and City Council approval <br /> 60 dca>>s prior to the event. Slzutde bus seivice ivil/be r•e�uired cuiless applicaiit clemo�zstrates <br /> sirffcie»t o�T-sitepa��king is available. Non permitted eve��ts wil!not be allotived. <br /> NAME OF OWNER: IJ1/��ci- �i ; v'ci� PHONE: (home)� /c� —��'�� "y�S� <br /> ' . �' 1'�� � L"�`((� CITY: /�� � �work) <br /> MAILING ADDRESS: ZIP: �� <br /> CONTRACTOR � � � L� -� t � �� �� L L L, PHONE: �� �-'S.�� ' �'(�C�'� <br /> CONTACT PERSON: , ; ���S MOBILE/PAGER: -S/- 4S — �� 1f <br /> MAILING ADDRESS: � � ," � � J. CITY:(.� � .�,.,. �� '"� P: ���� <br /> STATE LICENSE: # �?1� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ���� PHONE: 7/����.,�—C%���'� <br /> MAILINGA�DRES�: ��i�i' 1x:rh•- E-�1�' _ CITY:(� .ti;/-�i �,�L�'LIP: 4 �/�� <br /> NAME: I ti,�+ �,� REGISTRATION: # <br /> TYPE OF WORK: New _^� Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> P OPOSED WORK descrc e in detai�: <br /> �C�f✓ ✓Vl G�����C�� ��V'1•5�� ( L �� (�C��) <br /> STORIES: � � - SQ.FEET OF EACH FLOOR: � ' ��� � �� L � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ , �' �G C <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 conforniance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a perm� and work is n t to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �ti � �� DATE: � � �� � <br /> 31 <br />