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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICA'TION <br /> All information must be submitted in full before plan review will be startecl. <br /> (please pri�tt all iizfof�ntatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> �"' C� �; - i ' ' i/ <br /> JOB SITE ADDRESS: �; /�� � � �"f 1�'t '" ,f`"��'f ZIP: `-� �-'�`7` <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If ye,s, a special evey�i permit is rec�irired ivith Po[ice Depnr�tiney�t ai�d Ciiy Cozn7cil approval <br /> 60 dal�s prior•to the event. Shtittle busservice tivill be required unless applica�zt dernonstrates <br /> szr�cient on-site pnrking rs availnble. No�7-pei•r�rrtted events lvill��ot be n!lo��vecf <br /> i <br /> NAME OF OWNER: n J�i' �a,�"��-r-'�`�� PHONE: (home) � �`'" �' �� y?�`�`�, <br /> _ (worlc) <br /> MAILING ADDRESS: %f-'/�' f CITY: ,_'),!='^/'.�_� ZIP: -�:i J��' <br /> CONTRACTOR: -'�.� ` �-�i -�'l PHONE: ;��'—�-y/`�3� � <br /> CONTACT PERSON: � ����/ MOBIL,E/PAGER: <br /> MAILINGADDRESS: �'�"'�'CS- , =� ,,�-Y^� CITY �i�, :�� ZI�'. %'�H'� <br /> STATE LICENSE: # �r; :�;.� ; '��,�"! EXPIRATION DATE: -��=' ��: <br /> ARCHI'I'ECT/ENGINEER: PHONE: <br /> 1'vIAILING ADDRESS: CIT�': ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure _ <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in cfetain: �r %/Y�='��":� <br /> STOI�IES: 5Q, FIEE'T OF'E�1C�-I FLO�1�: <br /> NO. OF BED1200R�IS: GARAGE S'TA�,I,�: A'I"I'ACHED ��'I'A��E� <br /> �S"TIIViA'I ED COI�1S'TI��TC�'ION VP�I,UA'I'ION(excluding land): $ v� j C�Q <br /> I hereby apply for a building permit and I achnowledge that the information above is complete and accurate; <br /> that the work�vill be in conformance with the ordinances and codes ofthe City and with the State Buildin� <br /> Code;Cl1at I �inderstand this is not a permit and work is not to start witl�out a permit;and tl�at the work will be <br /> in accordance with the approved plan. <br /> � �. ' �� �� ,,,�:%' ��� ,.�� ,;+� ' <br /> APPLICANT S SIGNA'I'L'I2E: �� � .-<_��' DA'I'E: � �,-'�:�� � � . <br /> ,�._ �-�. _.. <br /> C;�`, <br /> 3l <br />