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� 1� <br /> Total Fee• � C�"`t� - �� DateReceived: �/7 D�_ <br /> Entered By: � _ Permit#• �i /��f•57 <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 i�zfor�ructinti) <br /> THE APPLICANT IS: (circle o�ae) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: '�-IL � � �LL- ZIP: ����� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> �1'CS � NO If yes,a special evenf permit is required with Poliee Department and Cify Counci(approval <br /> 60 davs prior to the event. Shz�ttle bus service will be re yui�•ed unless applicant demorzstrates <br /> s��jftcient on-srte parking is available. Non-permitted events will rzot be allrnnecl. <br /> � (iO� " 2�'t" <br /> � � � ���..L.�l:��l��-� PHONE: (home) 1 J�' � <br /> NAME OF OWNER: ��`��i �`� ----- (��-ork)'�i�3-T�}�`y ►��S�� <br /> MAILING ADDRESS: �I �-�h�u DE��v N�'L CITY: ��►`��% ZIp: `� ' <br /> CONTRACTOR: ���`�i���tv Ct�fa�i`���-r�=='� PHONE: � J2 "�'i Zc� -��1 <br /> CONTACTPERSON: C 1! � MOBILE/PAGER: ��� �� �2�'�� <br /> MAILING ADDRESS• �13�) - �-� � ���_� ��`� �TY: �T�`�'z-�?q'11�- ZIP: �f!c� <br /> STATE LICENSE: # •7 �3l tv`511 EXPIRATION DATE: �' E-`�S <br /> ARCI-IITECT/ENGINEER: PHONE: <br /> MAlL1N(G ADDRESS: C1TY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New <br /> Addition Accesson�Structure `''" <br /> Move Home Remodel/Alteration <br /> �. a ti'.i J�-i-l�� <br /> pRnpn�F,n W(lRK(�lescrihe iie detain: ���ST�v�-`T ���'� � <br /> 2�y X 'Z� C�-��iZ � <br /> STORIES: I <br /> SQ.FEET OF EACH FLOOR: �' ��C� <br /> NO.OF BEDROOMS:,� GARAGE STALLS: ATTACHED DETACHED_ <br /> iG� C-' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I �� � <br /> I hereby apply-for a building pennit and I acknowledge that the inforniation above is complete and accurate; <br /> that the work will be in conformance with the or � ances and codes of the City and with the State Building <br /> Code:that I understand this is not a p it a w ot to start without a permit;and that the w�ork�ti ill be <br /> in accordance with the approved plan. <br /> -- D��:��� io 2���- <br /> APPLICANT'S SIGNATiJRE: <br /> 31 <br />