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Total Fee: ��� `�c� Date Received:�-�� fo��a� <br /> Entered Ey: � /LL— - � -y���� ��� rermit�: ��� ( lC�,P <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 informafion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO� <br /> JOB SITE ADDRESS: � C� �j {��u,�,.lu-�.� �n� D�v.�%� ZIP: Sj 3�� <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yes �o If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF O WNER: ��e �- ��„� ��2.,�e� PHONE: (home) �(�2� `�'�q��5��2 <br /> (work)�5'2 z i 2- ��� <br /> MAILING ADDRESS: �,� CITY: ZIP: <br /> CONTRACTOR: �� P�;�.-;c�,;..� Ga�z�� PHONE: �'l Sz-� ti�s��7 <br /> CONTACT PERSON: g,r�, g�„��� MOBILE/PAGER: ��2���s��'-O i o 1 <br /> MAILINGADDRESS: �--r3-� �.,ti,�-,., � �jai CITY: II�L,hv�z-�-r�:� ZIP: �-�K� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCffiTECT/ENGINEER: 1�L- t���z.✓ PHONE: <br /> MAILING ADDRESS: �� CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Access�tructure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: ���z,�u..-,�,Q 2�=' Sfin,,, �y, kcw� �" � s:�� �-��►-�v-rnj <br /> n.�e�..� �� _ �CG�� . ��.�x�.� ���,���'s�(� ���1,�r � <br /> ,7 <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: - <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z�-�Z> <br /> I hereby apply for a building pennit 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 City and with the State Building <br /> Code;that I understand tl�is is not a pennit and work is not to start without a permit;and that the work wil]be <br />, in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: z.! DATE: �I-2��U� <br /> 1 <br />