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i <br /> � � <br /> Total Fee: $ ��"" � ` �� Date Received: � "�'- t��" <br /> , <br /> Entered By: , � �''''"� �,�3���,�, Permit#: _�� [%��L��, <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 infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,j 7(� 1 �' � ZIP: `� ^'%' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special even(permit is regzrired with Police Department ar�d City Council appr•oval <br /> 60 days pr•ior to the event. Shuttle birs service will be reqi�ired trnless applicant den�onstrates <br /> sz ff cient on-site parkir�g is available. Non permitted events wi11 not be allowed. <br /> NAME OF OWNER: � i�_��rt��-.. PHONE: (home)� S� � �� ,.�.,�- ?� ':';� <br /> (work) <br /> MAILING ADDRESS: y�cr M e CITY: (J.p�, � ZIP: <br /> CONTRACTOR: �'��� ,-��,��, C c�<��`��r� t�1.r �y „�-_., PHONE. �7 i� ' ._ ,� J f -���� <br /> CONTACT PERSON: ,�C`,� `� C�t;`..~ �,h�, , ; MOBILE/PAGER: ;�� ; �J �l C� <br /> MAILING ADDRESS: �'� "��:.� ; )r, ,� , .:, �' CITY: I ZIP: �'� <br /> STATE LICENSE: # �: - � EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: /V� .r i ��•�� � M�,,-�=� PHONE: ;�� ,� • 3 �f I � �J�SI <br /> MAILING ADDRESS: �-�;-� �-; t� '�-�} �, CITY: - :�;; : ZIP: � <br /> NAME: REGISTRATIO : # <br /> TYPE OF WORI�: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) � <br /> PROPOSED WORK(describe in detai�: ��y,�;�, , d� % � ' �� ; ���r, `: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �,:���:.� ' <br /> I hereby apply for a building pennit 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 pennit;and that the work wi11 be <br /> in accordance with the approved plan. /] <br /> l ',� � ! <br /> APPLICA.�iT'S SIGNATURE: �� f i /�- DATE: ' ' � <br /> �� <br /> /,� i , ' . <br /> , <br /> 31 <br />