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� • �� � ;�,�� <br /> `���" ��' �/(�� • . .�� �� ' / <br /> Total Fee: $ ' ' '- �.� ,�. �� ' ' Date Received: <br /> Entered By: ?l� � Permit#: � c�����,/ C� <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 O CONTRACTOR <br /> JOB SITE ADDRESS: �U-�D �G m s�' C%f2.l��1'�� ZIP: <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 regarired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle ba�s service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �GO/�C l�-���'i �1'L�'L pHONE: (home) <br /> ,� (work) <br /> MAILINGADDRESS: 7� 30 �Lm ST CITY: ���'ti� ZIP: <br /> CONTRACTOR: /���Qr C��f� ���s PHONE: �s� "`������3`� <br /> CONTACT PERSON: ���h MOBILE/PAGER: �/,� ��o-?/7�' <br /> MAILING ADDRESS:�� S" r�/���,,,,�.,c,�; /�i�✓`d CITY: ��-��N��r�-Z P: �.��3� <br /> STATE LICENSE: # g�'�,(� EXPIRATION DATE: y �s" e � <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 'X <br /> PROPOSED WORK(describe in detain: y�-%�✓i 5� r.9-1���Y � ��Z..� <br /> STORIES: �� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ „3� �cx Q <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 pla <br /> , ,. <br /> APPLICANT'S SIGNATURE: DATE: 7oZ9 � ' <br /> 31 <br /> �t <br />