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� �-1�-�� <br /> Total Fee: $ �q a , ��o Date Received: � �(�-�� <br /> Entered By: ,�1_ Permit#: ';� ���{'-�% � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plec�se print all info�•rnation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: 6ro GY�,s�a 1 Cr�i� � ZIP: ��J� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO If ves, a specict!event permit is reqaiired witli Police Department and Citv Coi�ncil approval <br /> 60�lays prior to tl7e event. Shcrttle bers service will be required unless npplica�at demonstrates <br /> sa��cient o�z-site parking is available. Non perrnittecl events will not be allotived. <br /> NAME OF OWNER: 0/✓� � ha�a � a a� PHONE: (home)g7y ��7-'' �1�� <br /> � <br /> / (work) <br /> MAILING ADDRESS: �O� G'r�����ee�C. � CITY: �O�no ZIP: 5 3 � <br /> CONTRACTOR: /�A�/�K �"� ` ��' PHONE: 7G 3 '�i� '�f¢ <br /> CONTACTPERSON: t! !t D!N MOBILE/PAGER: b/=- — 32�0 <br /> MAILING ADDRESS: /S4 3S �l��S�G7�C � CITY: �/ v ZIP: �� <br /> STATE LICENSE: # 1gG. �?•o/30�-2� EXPIRATION ATE: ?,pp <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 C <br /> PROPOSED WORK(descr�ibe in detai�: C� CPM 4j'Y/� On � 0� �(�/1 <br /> l'p.�! %2 �-r � ' . ' co n <br /> aues5� b y �5 � �' s��� �� J�' l�s door. <br /> 5'I'ORiES. - - S�.�'EE'I'O�'-E.�.aaCH�0012: <br /> NO. OF BEDROOMS: GARAGE STALL.S: ATTACHED I)ETAC�-IED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l8' �aa • � <br /> I hereby apply for a building permit and I acknowledge that the infornlation above is complete and accurate; <br /> that the work will be in conformance�vith the ordinances and codes of the City and with the State Buildinc <br /> Code; that I understand this is not a permit and work is not to start without a pernlit;and that the work will be <br /> in accordance with the approved plan. <br /> � � � os <br /> APPLICANT'S SIGNATURE• DATE: <br /> �, <br />