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, <br /> � � <br /> �"� <br /> Total Fee: $ � ��. 7 S Date Received: %� ���� <br /> Entered By: ��/t/L Permit#: ' C% y �, � '� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �.� L( �`/1�2.� i c�..i (—/� ZIP: 55 3 S'� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special evej�t permit is reguired with Police Depa�•b�tent and City Counci!approva! <br /> 60 days pr•ia�to 1he event. Shzrttle bcrs service tivill be i•equired unless applicant denaonstr�ates <br /> sarfficient on-site par�king is avnilable. Non-per•mitted events�vill not be allolved. <br /> NAMEOFOWNER: �,C.t��`t �PBNe,�-- PHONE: (home)`�r�- `�ZG-U`}3Z_ <br /> (work) <br /> MAILING ADDRESS: ��l( Fnau�G.✓ L/1� CITY: ��r r (.n�1C` ZIP: 5�.3.�'� <br /> CONTRACTOR: t��lv , L�c.a�.,+,x.,��jv�cQ�4QtMod�Q�i ��tc.PHONE: 7�3^ �0 ^a��a�—' <br /> CONTACT PERSON: �/�,s'Tz►va//�. MOBILE/PAGER: 6/.Z. - �f9c-�Y'G ?g <br /> MAILING ADDRESS:o?//o r o�,�c,on.c� ,�r� CITY: Q,���5,rn,.� ZIP:s'�,3 Z �i° <br /> STATE LICENSE: # 3 8 ro ( EXPIRATION TDA E o2..oe(r� <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 rn detain: �-a-o � �� p�L 3 S � . <br /> STORIES: S�.FEE�'OF'EACH F'I,OOI2: <br /> NO. OF BEDROOMS: GARAGE STAL�S: ATTACHEI) DET'ACHEI� <br /> ES�'I10�ATED CONS�'I2UCTION VALUA�'IOIvi(excluding land): � / S C��.%� ''� <br /> I hereby apply for a building pernlit and I acknowled�e that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the Citv and with the State Buildina <br /> Code;that I understand this is not a periz�it 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 SIGNATU . I)ATE: �� L� O� <br /> 31 <br />