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� � <br /> " � `1 <br /> Total Fee: $ �};� DateReceived: 7'� 'U1 <br /> Entered By: 1•Lp•Q 1 Permit#: p��Z7jg <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print aA informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CO�CTOR <br /> JOB SITE ADDRESS: � N�a��1'.�'VY11 H J I I zir: 5`�3� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO Ifyes, a special event permit is reqtrired i+�i�h Police Departme��t and('ily C'ounci]approval <br /> 60 days prior ro the erent. Shr�ttle bus sen�ice will be reyr�ired unless applicaM demonstrates <br /> su�cient on-site par�king is arailahle. ;Von-permi!!ed ei•ents will no�be nlloi��etl. <br /> NAME OF OWNER: _�� l�����j(,� PHONE: (home) ��—��� <br /> (work) <br /> MAILING ADDRESS: �j� ���� �''�I I I CITY: � � , ZIP: �;��� <br /> CONTRACTOR (.r�'� � I1 PHONE: ��(�- ��� <br /> CONTACT PERSON: 1 MOBILE/PAGER: <br /> MAILINGADDRESS: �I � �� CITY�,f`�L(1���5 Pk'ZIP: ��J � �y <br /> STATE LICENSE: # i EXPIRATION DATE:�`�U <br /> ARCHITECT/ENGINEER: PHONE: <br /> MA[LING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> PROPO D W RK describe in d i : � - � � I r�,�(�I l� <br /> R <br /> � ► �}� � � � � ,� � �� , � � ���I%' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z���% <br /> I hereby apply for a building permit and 1 acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe City and with the State Building <br /> Code;that[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: l"1�--L-�-�'���� ���TE: '� 1 U / <br /> ��--�� � �, �. ;, <br /> �..�� � l <br />