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� <br />� <br /> , <br /> Tota1 Fee: $ ��� �� Date Received: j� -(� -�C%r.�S <br /> Entered By: �� Pei-nnit#: ,��� �yG� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pt�i�it all i�zfornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWl\TER OR CONTRACTOR <br /> JOB SITE ADDItESS: ,�C�G,� ��`�Il��^�_ __ �(d ZIl': S j 35� (v <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special event permit is required with Police Departmer7t and City Council approval <br /> 60 days pr•ior�to the eve�it. Slizrttle bars service will be reqzrirect z�nless applicant demonstrates <br /> sz ff cient on-site pm�king is available. Nor1�ermitted ever�ts wi11 not be allotiti�ed. <br /> � � 1�Z-�lTl'��7� <br /> NAME OF OWIVER: � �L�V z7� PHONE: (home) <br /> (work) <br /> MA.IT�,INGADDRESS: �''D�/-� CITY: ZIP: <br /> CONTR.ACTOR: 6vI ?�N'' PHONE:7�3-��3-7/�'/ <br /> CONTACT PERSON: � �� ��� MOBILE/PAGER: ��3 -�7(�—�'8�p <br /> MAILING ADDRESS: 3�`�U �.��,r��" �..�v CITY: Le,�/.U�c,•� ZIP: SSZ� � <br /> STATE LICENSE: # .�zDyb(i r�/3 EXPIRATION DATE: 0�, <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILIl�i'G ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration L <br /> PROPOSED WORK(descf•ibe in detai�: �,c�.�'r-L S�-t.� ,Qn�� -���r- b�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOVIS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z`�00�' <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 pemut;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICA�vT'S SIGNATURE• � �.. i'�/L�DATE: /a � �y <br /> 31 <br />