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. . 3 q�o� <br /> G� <br /> Total Fee: $ /Dg 7, �9 Date Received: 3-3-O(o <br /> Entered By: � Permit#: �9b9/�3g <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 /> �___._�� -- <br /> -, _ � _. L; <br /> _ 1 <br /> JOB SITE ADDRESS: �- � f,;� ;_-:.; L ;:�e,` � i�;�j. ZIP: `��.�C �� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is regurred i��ith Polrce Depa��tment and Crty Councrl approi�al <br /> 60 days prior to the event. Shuttle bus se�vice i��ill be reqidr�ed unless applicanl demonstrates <br /> s�r�cient on-si/e parkrng is avai/able. Non-pern:itted events i��ill not be a!loi��ed. <br /> � t � <br /> ,'� <;l 1 _(' I <br /> NAME OF OWNER: �'�c:�.( �� ���, ,��L ,G�C' ,������; PHONE: (home) i �:�` ��C� "U�j�� <br /> (work) <br /> MAILING ADDRESS: ��L �i y�� �.� ( ; r t' ���i'ti��CITY: i� �,•�. ,-,, ZIP: ';�:��1L?��� <br /> � <br /> CONTRACTOR: ���`; i�� C C-;�> �� PHONE: '�G'� `���`'= ` i ::.' <br /> CONTACTPERSON: „�: (� MOBILE/PAGER: r� � � � � �� g` I I <br /> MAILINGADDRESS: �, y� l.�,,, _ �,� � � ,��CITY: ��� � ;�- �� <br /> f.-.�� �� � ZIP: S �� <br /> STATE LICENSE: # ;,��e; j EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> PROPOSED WORK(describe in detai�: ��r,���k;r'r' - � �� �� ; , a�v;1� ,.,. � '• � � <br /> :, <br /> �. .�I./ �. _ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �` ,Q'�� �--- <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 nat to start without a permit;and that the work wi I I be <br /> in accordance with the approved plan. � � <br /> APPLICANT'S SIGNATURE: i l - ,' DATE: � � `- �� <br /> 31 <br />