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' Total Fee: $ DateReoeived: 10-!Z a7 <br /> Entered By: Permit#. Q �l (09 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must besubmitted in full b�Foreplan reviewwill bestarted. <br /> (pleaseprintall information) <br /> � <br /> TH E APPL I CANT I� (arde one) 9�IVNER bR CONTRACTOR <br /> JOBSITEADDRESS I ��� � / '�'� �� U��e- �4� ZIP: � `I TS� <br /> Will thisbea Paradeof Homes, RemodelersShawcaseHomeor other Display Home? <br /> ❑Ye.S �NO Ifyes,aspeaal�errtpermitisrec�iredwithPoliceDepartm�tandCityCanalapproval <br /> 60 days prior to the eu�rt. 9xktle busservioewi I I be requi red unless�pl icant demonstrates <br /> suffi a ent ars te parld ng i s awai I abl e Non-permi tted events wi I I not be al I o�uued. <br /> NAMEOFOWNER: ��I�^^�+' �� K� ���7 PHONE: (hor�e �� � 3�'�Z <br /> . � (W��^I -�7J—jv� 3 <br /> MAILINGADDRES� � � � � �`'� (����CITY: ����� ZIP: 5 s ��c <br /> CONTRACTOR: I�� U�'''�`' PHONE: �l� - ��1-3cc �� <br /> CONTACT PER90N: M OBI L E/PAGER: <br /> MAI L I NG ADDRES� r�-- CITY: ZI P <br /> —a, <br /> STATE L I CENSE: # EXPI RATI ON DATE: <br /> ARCHITECT/ENGI NEER: PHONE: <br /> M AI L I NG ADDRES� CI TY: ZI P: <br /> NAM E: REGI STRATI ON: # <br /> TYPE OF WORK: New Home Addition Aooessory Structure <br /> Move Home Rerriodel/Altaati on(i e Sidi ng,Wi ndaws) �_ <br /> Boz f bsui npwt nt ou nbz sf r vj sf N�CE sf vy f x boe qf snj ut " <br /> PROPOSED WORK (d�cribein detail): (�� �u�- i ( Fr c � .� ��,�•� _�'�`� <br /> c;�� �:- ;�,�< t „� �. j ).,, x �y'' �v L - r,;�,� �.,.... <br /> � � 1�l' <br /> STORI ES: �_ 9Q.FEET OF EACH FLOOR: I 3 � � <br /> NO. OF BEDROOMS Y GARAGE STALLS ATTACHED � DETACHED <br /> ESTI MATED CONSTRUCTI ON VAL UATI ON(e�cduding land): $ �5�'�' r✓ <br /> I hereby applY for a building permit and I adcnowledgeth�theinforrrr�tion aboveisoorripleteand accxarate; <br /> th�the work wi I I be i n oonforma�oe with the ordi nances a�d cales of the City axi with the State Bui I di ng <br /> Cod�that I urxierstand thi s i s nat a permit and work is r�ot to start without a permit;and th�thework wi I I be <br /> i n accorclaioe with the appraved pl an. <br /> APPLICANT'SSIGNATURE: /��i� �� ��7 DATE: ��lY �� ` � .� <br /> . <br /> 31 <br /> �'� ��'�,� � _ �j�`� � ��i '" X I�- �(�� <br /> l'�L L �' i, �s�y <br />