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�03 ~ <br /> I" ��� `J � <br /> Total Fee: S ��= �• �� Date Received• �2 -z �3 <br /> < <br /> Entered By: `"r��._ Permit#: �O 70S(o <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------- • --------------------------------------------------------------------------- <br /> �_..__.. .__.. _, <br /> THE APPLIC?�vT IS• (circle o�te) O`VNER O ONTR�CTOR� <br /> JOB SITE ADDRESS: i`t-C"� `'��1 i�(�=� ,�-C:!�1t-''� ZIP: <br /> `Vill this be a Parade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is reqi�ired with Police Department and City <br /> Coacncil approval 60 days prior to the event. Non permitted events will not <br /> be allotived. <br /> NAME OF O�V�1ER: �t'�`� �w�='G�_ PHONE: (home) <br /> (work) <br /> 1�IAILING ADDRESS: �`��'� v7�'�� ��`''�� ��ITY: C��i�.c„� ZIP: <br /> CONTRACTOR: ��i�%t�ca'Z,"(l.qc� t M,��.� PHO`'E: -7��>�J�f'! J��j <br /> CONTACT PERSON: � j�n,� 1,t�.1�c�2�t� �TOBILE/PAGER: <br /> MAILING ADDRESS: lQ-C`�1�,Z�: �_-�L�c� UtZ.t�Z?�;CITY: =�*(��1 ZIP: ��=��ZZ <br /> STATE LICEtiSE: # ��c�"1Z- �`'i �. <br /> ARCHITECT/ENGINEER: PHOi�TE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NANIE: REGISTRATION # <br /> TYPE OF�tiORK: New Accessorv Structure <br /> Addidon �_ Nlove r <br /> RemodeVAlteration i�c` Land Alteration <br /> PROPOSED «�ORK(describe in detai�: `�,��p �''itI'..,c�1�9 ��'�Lnc`� f�USj�,.a�1-- <br /> .P�2� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIi�IATED CONSTRUCTION VALUATION (excluding land): $ ��;�'�L — <br /> I hereby apply for a building permit and I acl�owledge that the information above is complete and accurate;that the <br /> work w711 be in conformance «zth the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pemut and work is not to start w-ithout a permit; and that the work will be in accordance with <br /> the approved plan. <br /> --, <br /> APPLICANT'S SIGNATURE�_r:c�"�-�-� �- DATE: l2 � 2 '`'' � <br />