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�� <br /> Q��. <br /> . � <br /> �V�` <br /> Total Fee: $ Date Received: <br /> Entered By: 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 OR CONTRACTOR <br /> � _ ___ _ � <br /> JOB SITE ADDRESS: ��-I 1� � r`L�,���� �- l ZIP: `� �.�`"� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special evenl perntit is reqarired with Police Departmer7t and City Council approval <br /> 60 days prior to the event. Shzrttle bzis service will be reqa�ired zrnless ayplicant demonstrates <br /> suffici�ent on-site parking is available. Non pennitted events will not be allowed. <br /> NAME OF OWNER �� 1L � �`>>�� ����"�'l��V"��v��) PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: �'���T �'�>�� ��� CITY: �(�,/1C: ZIP: �;>j�`�1 � <br /> � �ONTRACTOR: `�1�C2(;U�1 -�- ���i�i PHONE: <br /> �`CONTACT PERSON: �1 1, ►c � l�_,����,:,,� ,r-h-� MOBILE/PAGER ��,(,�- ���- I�Jc�y <br /> MAILING ADDRESS: ��'���j C(uv C'�" L f CITY:(_'(��;.,;; id�i.t��;, ZIP: �'}� ✓� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILIi�1G ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> �(1 Move Home Remodel/Alteration �_ <br /> �� <br /> � �� PROPOSED WORK describe in detai : � f E ��.,� �(,����d�`�� <br /> � � � 11���, �� c��:" �(�,�7 �.�v��r <br /> �'�, � _ � ����CIP r�st �'l�rnF' � <br /> �' ,� <br /> � STORIES: I ---� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATTACHED DETACHED�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ !� (-}O(i� <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 pennit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE�'��� � � � �' DATE: `���I� I �I - �j <br /> 31 <br />