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�-� , ' > <br /> - �-' �� 1 y��� c�� �� <br /> � L ��� �e �s �OT� � <br /> Total Fee: $ �-��� � ��� �— Da et Received: �� /�� <br /> Entered Bv: � Permit#: �' � � j,}C� <br /> 1 y'�ci ��f � 1 ��-�� <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 1S: (circle one) �WNER�OR CONTRACTOR <br /> JOB SITE ADDRESS: �,3U �v�c..5 f" ,�/�^-S L�/ ZIP: `�S 3(,, � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> � Yes � No [f.ves, a special event permit is reyzrired w°ith Police Department and City <br /> Coi+rzcil approval 60 days prior to the event. Non perrnitted events will not <br /> be allowed. <br /> NAME OF OWNER: �Q �� Larc��S PHON • - o���n <br /> (work) 6iz- Z�>/- i..� 5 i � <br /> MAILING ADDRESS: j��v �v�cS�f" 1��.�5 (-i� CITY: Tv��v . �, <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition Move Home <br /> Remodel/Alteration <br /> PROPOSED WORK (describe in detai�: :Z� S{r,��l �r'�uG�,f 3 C�i Gy�,-.-�u `��i'S�.,Ct <br /> d✓� Cc�.c��%it s�,� u�n, rZ" owt s��: .�„� 6 " �w�' <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: `� I� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED� <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��w ��t�c,✓t� <br /> �' <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ardinances and codes of the City and with the State Building Code; that [ <br /> ui�derstand this is not a pennit and work is not to start without a pei7nit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: R"-2-vY <br />