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Total Fee: $ Date Received: �:',`� %��, C� <br /> Entered By: Permit#: � r� �7� � <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 /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTQ$.� <br /> JOB siTE annREss: ���:>�=� �� i ��_,� ►��r��ti--,� (�-� zir: ���G�-�1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: ��'� C'""C` �Z� PHONE: (home) ��`�-Z-�LI� �-5�-� �� <br /> (work) <br /> MAILING ADDRESS: �h-�'S �-t,;'r;} 1��rw,-� _�,�CITY: � ,'�r-�L. ZIP:5"S"�6'�-I <br /> � � F�X ?�3�c� -gvyb <br /> CONTRACTOR: �'�-,��Y.,,, �{t c�.��� �U��._ PHONE:��L- �--'S LI�-I' ? �E`I <br /> CONTACTPERSON: O MOBILE/PAGER: ��'j�" Z. 3�{ -G`� � <br /> MAILING ADDRESS: 1),�. . 't lu,, �; `��-�;'�_; CITY: t �I ,;� �, _ 14� ZIP:`��� ,- �� <br /> STATE LICENSE: # t'�,(;?.C,,<' l�r�{ <��� r" EXPIRATION DATE: - i � � 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 in detai�: __t r'1 `�j��..r 1C1 i>C:L � �G '��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �U, �n� <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 ordinances and codes of the City 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 /> APPLICANT'S 5IGNATURE: ' i/ �! . DATE: �-"��-I C -�'r� <br /> ` �_. <br /> 31 <br />