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< <br /> ��� a-aK-oS <br /> l <br /> 7 S��{.2� <br /> Total Fee: $ Date Received: � <br /> Entered By: Permit#: � ; `r"�f�.- ; " <br /> CITY OF ORONO - BUILDINC 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 R CONTRACTOR <br /> JOBSITEADDRESS: �7(�j 1�L-�o�N�iC�:. �hr`;> /� ZIP: `;��;;�j/ <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS 1V0 /f yrs, u special event permr/is reyzrired wilh l'olice!)epuriment and C'iry('o��ncvl upprovul <br /> 60 ctuys prior�o the evenl. ShzrUle hu.r service will he reyi�ired unless upplicunt demons�trutrs <br /> sz�f�icient on-sile purking is availuhle. Non perrniited evenls will nol be allowed. <br /> NAME OF OWNER: lIOS��/-i /vo7�l�Al���D�.�/ PHONE: (home) (�/�--N�`�'�/(�, <br /> (WOrk) �� <br /> MAILINGADDRESS: 7�C�� ���2,�lI�A(,,E i7b /�.CIT�': (�_;-�t/�%��ii ZIP: �� <br /> CONTRACTOR: �t�iG�vvs�ADrS�-G'�'G� flir�r� �y L'c-'�J�'�HONE• <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXP[RATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY': ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORI�: New Addition Accessory Structure <br /> Move E{ome Remodel/Alteration <br /> PROPOSED WORti(describe in�tetai�: �F�- �,�}G/-f�� �lS i <br /> �i lH,� c, <br /> STORIES: <_c,�:�� SQ.FEET OF EACH FLOOR: �c"�G��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED .3 DETACHED p <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �x���' (�0,060� <br /> 1 hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; � 0 <br /> that the work will be in conformance with the ordinances and eodes of the Ciry 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 /> __,.....__ � <br /> APPLICANT'S SIGN�`F�RE:___.. �. �-c�--- DATE: c��or?�' G�S <br /> 31 <br />