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� <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri��t all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR� <br /> JOB SITE ADDRESS: ����c +=�� ��:ict i,�, 2�- c.v. zlr: �S ��'-1 � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Z'0S �T10 If yes, a s�ecinl event permit is reguir�ed tivith Police Department and Clty Council app�roval <br /> 60 dnys prror to the event. Slnrttle bars service tivill be i�eqttir�ed au�less applicant demonstr�ates <br /> sirff cient on-site parking rs available. Non-permitted events lvill�1ot be allowed. <br /> NAME OF OWNER: I 1�')') �-� �G51�- ��'� ��S PHONE: (home) ��� `-�7� ' `f a 3� <br /> (work) <br /> MAILING ADDRESS: v��s� n���' �� ' CITY:Sh�e�-�=a�°� ZIp; �S�3 � <br /> CONTRACTOR: ��l �GLvI� 7lSt"I v1 C�"l v�. f�vYv(C�, (v►�HONE: �'1�� •'-f��--f �(0 00 <br /> CONTACT PERSO : `�j��k� �� ��% Y'1 MOBILE/PAGER: �1 a � �-SU �-{pO I <br /> MA�LING ADDRESS: �-{p I �rr,�S� L-G-I<� �1' CITY: l.t�- za- t�i..ZI�: �S �o � <br /> STATE LICENSE: # �C.— ����-1 coq,2� EXPIRATION DA E: 3%3���Oo� <br /> ARCHITECT/ENGINEER: �'aY rrte�.�1 O�'\ t�C ►'h �tC c-{�pHONE: (o I � 33� � y� -�14 <br /> MAILINGADDRESS: a75i'Ytar�l�e•i� S`T- CITY: Nlivi►�er;�Pt>I�s Zip; 55�-FOS <br /> NAME: `Ti n� Nlc �l e c� j REGISTRATION: # ot�l1(��i <br /> TYPE OF WORK: New �_ Addition Accessory Structure �_ <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: Q��, �, T�R i2�C� + �`�r� �� C, <br /> S'I'ORIES: � SQ.�'EE'�'OF EACH FL,OOR: <br /> NO. OF BEI)ROOMS: � GARAGE STALLS: A'I'TAC�-IED� DETACHED_ <br /> ES'TIIWIATEI)CONST�2UCTION VALUA'�ION(excluding lanci): � �O , Ob� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the rdinances and codes ofthe City and with the State Building <br /> Code;that I understand this is not a permit and ork is not to start w' ut a per-mit;and that the work will be <br /> in accordance with the appro��ed plan. � <br /> APPLICANT'S SIGNATURE: !+ ��'� �J`--�ATE: � ��' d S <br /> 31 <br /> I <br />