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♦ �� <br /> �I (_I V 1 <br /> ��� Total Fee: $ /�J�� �J Date Received: 7-/Q-D� <br /> Entered By: Permit#: ���� 7 7��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all i�iforr�zation) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWN 'OR CONTRACTOR <br /> JOB SITE ADDRESS: �f`Q �ac���..�-,�,�,� �-� c �,� ZIP: � � 3 S L <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 aizd City <br /> Council c�ppYoval 60 days prioY to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �Q w�k 5 � c� � � PHONE: (home)_`�S� - �(?S-`�"?� I <br /> (work) � � 2. - 3 i :3 -- �? ��o <br /> MAILING ADDRESS: ��� ��;c��.�,���r� �� � ( CITY: � �Q t.rt o ZIP: ���';�, <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration �k` Land Alteration <br /> PROPOSED WORK(describe in detai�: (�:�,,,.,r ��( k..�,�.,��, ; ,,� ,-1-�I, .2 t,�; ,� �Q<<�% ; <br /> .S l,-, �t�l�� l�•,v-w-�f C3�� I��._0 1 a � [.r ✓:n � i�c c �ri i.s �h �Q��� ( S'c►vr�� S� Z-�� <br /> STORIES: SQ. FEET OF EACH FLOOR: � (� C <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT.�_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, pc; e <br /> I hereby apply for a building pernut 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 pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: ��:�- ��� DATE: � - � �1 " C' y <br />