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r,.C� �,,�;, �� <br /> Total Fee: $ � � �'U`��� �� � � "> <br /> Date Received: ' I �%"� <br /> Entered By: � � � Permit#: ,-t � �t(,���'�� <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 /> JOB SITE ADDRESS: 3b� F t Ie� S�-r��-� ZIP: S3 <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�vith Po[rce Deperrtinent and Ciry Cour�cil ap�roval <br /> 60 days prior to the event. Shuttle bus service ivill be required unless applicant demonst��ates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �Pi� I�1r�,�, G�h�'Y►tiGV� PHONE: (home)q -4�Ia'O ,� <br /> (work) <br /> MAILING ADDRESS: 36�0 E�I�vI,`v�► CITY: O�o�� ZIP: 5S'35% <br /> CONTRACTOR: S v re� r� o �.�. PHONE: �¢IZ-�I-DI� <br /> CONTACT PERSO : o-� MOBILE/PAGE : <br /> MAILING ADDRESS: 0 CITY: � � ZIP: ,,/ / (/, <br /> --� <br /> STATE LICENSE: # �i-}� EXPIRATION DATE: <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 �� <br /> PROPOSED WORK(describe in detai�: ����-ta,� ,�(,�I,P.r�n�t,�-1' �`P�i'►�0�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> EST[MATED CONSTRUCTION VALUATION(excluding land): � ��, 0�� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 /> APPL[CANT'S SIGNATURE: � DATE: Z� �S <br /> 31 <br />