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' �3��' � <br /> . <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 print all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> -- �....� �_.__ <br /> THE APPLICANT IS: (circle one) OWNER OR NTRACTOR <br /> JOB siTE anv�ss: o��(�� �G� X S tY2�-� Z1P: Sr�� ��� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO I�'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 /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �,�,y'�(' I � n���1��-� �HONE: (home)�5� " y�� — �`�(� <br /> �� � / � (work) <br /> MAILING ADDRESS: ��� r�J�}� ��j''�YU`�ITY: l,fv►► IL��C_Q ZIP: ��� <br /> CONTRACTOR: �`�U�`n � �''� l�rc;c� d' � �HONE: �L'LZ-7Z-Z'bC'I�O� <br /> CONTACT PERSON:Chr«r,v�� MOBILE/PAGER: <br /> MAILING ADDRESS: 2S� Z�y�,�_ �U CITY: }'1'1�]s . ZIP: _S�p � <br /> STATE LICENSE: # �32/-� EXPIRATION DATE: <br /> ARCH T/ENGINEER: PHONE: <br /> MAILIN DRESS: CITY: ZIP: <br /> NAME• REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: '�(�- � '�� , �✓ (.���rn��( � �'�' �� <br /> � > � � �p,�,,�,,, <br /> STORIES: SQ.FEE OF EACH FLOOR: �� � �`� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ �t� <br /> G� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ l��, (J 'Lf g <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wi11 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 d work is not to start without a permit�and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � � ATE: l�j �� `-C�� <br /> 1,.��_�<-��--v4�Y� 1 31 <br />