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� ` <br /> Total Fee: $ � �� llate Received: j(� - � -Ci� <br /> Entered By: �;y� Permit#: ;j v''��7� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will bc started. <br /> (please prii�zt nll information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THC APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDR�SS: �"� � 1,J e bD 1� a � ZIP: .� S 3 S�'J <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other llisplay Home? <br /> ❑ YCS ❑ NO Lfyes, n special event pern�rit is r•eqi�ired ivith Police Deparlment and Cily Coi�ncil npproval <br /> 60 days pr•ior to the everat. Shirttle bzEs service wil/be reytdr•ed i�nless applicant denao�astr•ates <br /> szr�cient on-site parking is ai�ailab/e. Non-�ermitted events wiU not be allowed. <br /> NAMEOFOWNER: � V PHON�: (home) I-�-7S-- 3d� S <br /> (work) <br /> MAILING ADDRESS: ��C� 0..��p�a� � CITY: � ZIP: S' S 3.S �'1 <br /> � <br /> CONTRACTOR: ��.Pw�y�,��,� ,�e �o �,1 PHONE: �-5��--�OL�r <br /> CONTACT PERSON: � � 5' MOBILE/PAGER: �$� -� O�f � <br /> MAILIIVG ADDRESS: (; � CITY: L.�a�o��,,,�G ZIP: SS3Ss '7 <br /> STATE LICENSE: # `' c�� /5 y' � �— EXPIRATION DATE: 3 -3! - O 6 <br /> ARCHITECT/ENGINEER: PHON�: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition _� Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in cletai�: (�.e� � <br /> STORIES: I SQ.F�E'I'O�'�ACH�'LOOR: I � � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHF.D DETACHF.D <br /> i <br /> ESTIIVIATED CONSTRUCTION VALUA'I'ION(excluding land): $ o� .SQ�. Go <br /> I hereby apply for a building permit and I acknowledge that the infor►nation 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 tt�e approved plan. <br /> � <br /> APYLICANT'S SIGNATURE: � / llATE: ���S G S <br /> 31 <br />