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, � <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 infor�nation) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR? <br /> i <br /> JOB SITE ADDRESS: ����G'� ,:����%�'/���� �"'%�E'���'/; ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑ NO If yes, a,rpecial event pennit is reqarired rvith Police Depnrtment and City Cozmcil approval <br /> 60 days pr•ior to the event. Shz�ttle ba�s service will be reqa�ired arnless applicant demoizstrates <br /> suf,ficient on-site parkir�g is available. Non pe�•rnitted events will��ot be allowed. <br /> � ��- <br /> NAME OF OWNER: C�i'��' ' j �-� >�. PHONE: (home) <br /> (wark) <br /> >> �� -i'�,� l�. ��' CITY: ;,.;��-� �� ZIP: <br /> MAILING ADDRESS: ,���z� < ����7�Li � <br /> CONTRACTOR: �:�/����9y �%��� � PHONE:��� �y3 -.����� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �f��% ��3 ���f;� CITY:;' �,��/ % r� IP: ��>.5�����` <br /> STATE LICENSE: # ,s� `f 7 EXPIRATION DAT : <br /> ARCHITECT/ENGINEER: PHONE: <br /> 1VIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �=-- <br /> "--- <br /> PROPOSED WORK(describe in detai�:��„ry��'L /l ���(�C'i�.� l7GJ�i�j�; ��//�j�'�' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6���; I�C�C/ <br /> i <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 pennit and work is not to start without a permit;and that the work wi11 be <br /> in accordance with the approved plan. <br /> i � / � <br /> APPLICANT'S SIGNATURE f���`��,� .�� DATE: �/ l,l� ��— <br /> �, f . % <br /> � <br /> 31 <br />