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: � . �o �� <br /> Total Fee: $ � �CJ � Date Received: �� <br /> Entered By: I!_ /;' -/ _ , , �< � ��/ `=� Permit#• �/z/ /a�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: ��" ��� ✓�Jl���}� ,F�v�� �u,%� ZIP: S.���� <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 required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NANIE OF OWNER: ,,C L,'{/� ��SSnC✓ PHONE: (home) <br /> /1 (work) ;'<� �iti�-66�0 <br /> MAILING ADDRESS: ���/ �ii KU�'� �1��C CITY: ��- ZIP: !�,35� <br /> CONTRACTOR: r_j'✓�-� A C� .�G�K!� �,�,-,��� �, PHONE: �iE� s'�� `�p-.��;� <br /> CONTACT PERSON: ���; MOBILE/PAGER: <br /> MAILING ADDRESS: �� T,�,C, ;'��� CITY: /�;�,;��,:<.�; ZIP: S'�.�E�� <br /> STATE LICENSE: # �-,s��j�i�s.z EXPIRATION DATE: C%�; <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 ,�i <br /> PROPOSED WORK(describe in detai�: -�!�„✓� �n (.ts:�;�.:-�, C✓c��.�� �ve. rvtih�b �� <br /> v� ; n�� �- n��>�� ��.- �—�ll� r�. � ��r ��� �� ��' �l.t �-�.� <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 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: � �% ��� <br /> � <br /> 31 <br />