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� - - � L-�- lo/Z�l o � <br /> Total Fee: $ a��3•�D Date Received: �� ��S S <br /> Entered By: Permit#: �/ �� (p5 <br /> CITY OF ORONO UILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pr•irzt all infori�zation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: � ����� �/ � � ZIP: S��� g � <br /> Will this be a Parade of Homes, Remodglers Showcase Home or other Display Horne? <br /> ❑ Yes ❑NO If yes, a special event per�nit is required witla Police Department and City Council approval <br /> 60 davs prio�•to the event, Slzzrttle bzrs selvice will be reqarired tmless applicant demorzstrates <br /> sz�cient o�1-site par•king is available. Non pen�zitted events will not be allowed. <br /> NAME OF OWNER: ��� ��2 ` I PHONE: (home)��� ^y��~���`�'� <br /> (work) <br /> MAI]LINGADDRESS: ���� �v 1��1 CITY: �r ZIP: <br /> CONTRACTOR: � pa v� ��✓'y C� PHONE: �71-- o S"3 'Z <br /> CONTACT PERSON: J0. � MOBILE/P�GER: ��� �7 °`��— <br /> MAILINGADDRESS: `f�° Sti.e�-� � '' CITY: �'G�c�rK ZIP: <br /> STATE LICENSE: # �c� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �v G�'T�KV Q eS�'�q � PHONE: <br /> MAILING ADDRESS: CIiY: ZIP: <br /> NAlVI�: REGISTR.ATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration �-- <br /> PROPOSED WO]E2Ii(descl�ibe in detai�: 2 '�� S ��`� <br /> STOI2.IES: 2 � SQ.FEET OF EACIi FLOOIt: <br /> NO. OF IBEDROOMS: GAR.AGE STALLS: ATTACHED DETACHEI) <br /> ESTIMATED CONSTRUCTION VALiJATION(excluding land): $ Zo�� d�`�'a F <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 City and with the State BuildinQ <br /> Code;that I understand this is not a permit and work is not to start without a gennit;and that the work will be <br /> in accordance with the appraved plan. <br /> APPLICAI�IT'S SIGNATURE: DATE: � �� 9' ,*'� <br /> 3.1 <br />