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<br /> Total Fee: $ C/ � � Date Received: �" ��^� �
<br /> Entered By: � �� Permit#: �Dg (o
<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)
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<br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR '`�
<br /> ,
<br /> JOB SITE ADDRESS: ���c� ��,�,Q,�,� Z„ �„�.�,,�, ;, ZIP:
<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 required with Police Department and Ciry Council approval
<br /> 60 days prior to the event. Shuttle bz�s 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: �,{,�,<J �c_,����z PHONE: (home)
<br /> (work)
<br /> MAILING ADDRESS: G"��� c i3,�,n;z,� R n CITY: c>��-�: �� ZIP:
<br /> CONTRACTOR: �.��. ,,�,,Z,�rv;,asS . <�„< PHONE:
<br /> CONTACT PERSON: .�-,�,=,= ��N,t,.,ti;,z„_, MOBILE/PAGER: c%=� ,3��-��-J�p
<br /> MAILING ADDRESS: , »:� ; ��'�� r.�,,.,� .,, CITY: i,,,�,>�,� c:�,:, zZIP: �-�-� ;i
<br /> STATE LICENSE: # �j�� EXPIRATION DATE:_� �- ��- ��
<br /> ARCHITECT/ENGINEER: PHONE:
<br /> MAILING ADDRESS: CITY: ZIP:
<br /> NAME: REGISTRATION: #
<br /> TYPE OF WORK: New Addition Accessory Structure
<br /> Move Home Remodel/Alteration x-
<br /> PROPOSED WORK(describe in detain: ,�3��„r.�„- �-,.-�,�-v. ;>��-� ,-�,�,,-. - ��,�.ci7 a,�,d,-�.,,
<br /> STORIES: SQ.FEET OF EACH FLOOR:
<br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED
<br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �o� av-�%
<br /> I hereby apply for a building permit 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 permit;and that the work will be
<br /> in accordance with the approved plan.
<br /> APPLICANT'S SIGNATURE: -- DATE: ��� �� ;-
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