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Total Fee: $ a5�• g� Date Received: �f-Z�-D 5 <br /> Entered By: � Permit#: �l-C}�-� �-.r-(�/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prijzt all inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> --_ _..___ <br /> THE APPLICANT IS: (circle one) �WNER,OR CONTRACTOR <br /> JOB SITE ADDItESS: �C% �uc.�.c�.c-,:��-r 1-�,+ 1 ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No !f yes, a special event per•mit is r�eguired��vith Poh�ce Department and City Coz4ncrl appr•oval <br /> 60 days prior to the event. Sha�ttle bzrs service tivill be regzrired unless applicant demor7sb�ates <br /> s�crfficient on-site parking is nvailable. Non-permitted events will not be allowed. <br /> NAME OF OWNER: J���� � - M�(,� PHONE: (home)`l sZ-�+�S ��i3/ <br /> (work) C��z-3�3 ��s� <br /> MAILING ADDRESS: `'��� ����,^� ��l` CITY:C����^ c.� ZIP: <br /> CONTRACTOR: c�Y��ti PHONE: <br /> CONTACT PERSON: S�-.� ,ti(o�_ l� MOBILE/PAGER: (s� z-��v -?z�c� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIR.ATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Qccessory Structure <br /> Move Home Remod Alteration j <br /> PROPOSED WORK(tlescribe in rletai�: t'11�.c.� (,,��Z,��c� -� L/-�-rn w�� <br /> S'�ORIES: SQ.FEET OF EACH F'I,001�: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DE'I'ACHED <br /> � <br /> ES�I'IMATED CONS'TI�LTCTION VAi�iJATION(excluding land): � � b0 C�. <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 Cin� 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: �2 �� <br /> i <br /> 31 <br />