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_ e�.�. �-���' <br /> N�e ` <br /> .� � � �� <br /> � TotalFee: $ 02 DateReceived: i�-a�-oy <br /> Entered By: Permit#: �j�83�/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (�ilease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 22Z v �c.�r�� �w_�.�� ,�r,�{ zlP: ��3aj t <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 reguired with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> �� � .----- <br /> NAME OF OWNER: � c� � e,Cj�jy�e � /�C'�.- PHONE: (home)� - `� DO <br /> � (work) <br /> MAILING ADDRESS: �.-�'�•'U ��`�";,�t�,:�. -.�>p���,,��.- CITY: ��,�ZIP: �►�3q � <br /> �'� <br /> T oM <br /> CONTRACTOR: p PHONE: �S Z` �,�`��„Gt�'� <br /> CONTACT PERSON: a MOBILE/PAGER: �j�Z- (��'. �J pl <br /> MAILING ADDRESS: i �`" � CITY: �ry��h,o� ZIP: �( <br /> STATE LICENSE: # �f�'j�j EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �j��,�,�:" ��D(�. c'���,p�PHONE: ��,y�,.�,,, ,�;��;� �J(��,;,,,,,� <br /> MAILING ADDRESS: � CrTY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> ���Add�!tio� � _ Move Home _ __ <br /> Remodel/Alteration <br /> PROPOSED WORK�describe in detai�: �j��U� yyy����/ �� � vn, �Y�°?n � <br /> o w�J �a a � j,,,� .� <br /> STORIES: _� SQ. FEET OF EACH FLOOR: Z,� l �' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED }C.. DETACHED <br /> 7— <br /> ESTIMATEll CONSTRUCTION VALUATION (excluding land): $ � ���� (�QU <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> �! <br /> APPLICANT'S SIGNATURE: DATE: �2-. Z <br />