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�� <br /> � <br /> ��� ��lJ� <br /> i� ,� rL <br /> v � Total Fee: $ � �� 22�� , Date Received: 7 a S� <br /> Entered By: �.�,N�-- Permit#: �4 (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 infornzation) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR NTRACTOR <br /> JOB SITE ADDRESS: �.�C.�v � ���— ZIP: ��3� � <br /> Will this be a Parade 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. Sharttle bar.r ser-vice will be regzrired unless applicant demonstrates <br /> sufficient a�-site parking is available. Non�ermitted events will not be allowed. <br /> NAME OF OWNER: ��``� y �/`► ►^ �S(�-S� PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: 3��U--� `7 ��— CITY: d✓'�— ZIP: 3 �t/ <br /> CONTRACTOR: � �- PHONE: ��l�US� � <br /> CONTACT PERSON: �c� MOBILE/P�GER: �Z- z—SZ �70�' 7 <br /> i�IAILING ADDRESS: y a �Lio^ �-�.e--1(� CITY: � ��" G ZIP: ���� <br /> , <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration Z� <br /> PROPOSED WORK(d scribe in detai�: Q r`�t-S -� S � <br /> e -e �%x/ S ���r•. �P�`w� � ci�/ <br /> STORIES: �� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ CS1� ��'v ` a <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 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: z�0 S� <br /> 31 <br />