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Total Fee: $ Date Received: <br /> Entered By: Permit#• <br /> CTTY OF ORONO -BUILDING PERMIT APPLICATION ' <br /> All i�formation must be submitted in full before plan review will be started. <br /> � (please print all information) <br /> {j, - ------------ �______�_w�_� <br /> �/ <br /> THE APPLI ANT IS: (circle one) WNE OR CONTRACTOR ', <br /> JOB SITE ADDRESS: ���� �a""��w� � ��dhp, �^/ ZIP: ,�..� <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 Department and City Council appr val <br /> I 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonst�ates <br /> � su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF ONVNER: s����p��� PHONE: (home) �i Z- ( /�� <br /> (work) (o _ _��b <br /> MAILING A�DRESS: ,31�,5.Ta..�wf.,.,� ��CITY: p,io�o ZIP; <br /> CONTRACT�OR: /�o�l ��tkr dve✓�o r�terll� �r� PHONE: „Z- 2.� - p�� <br /> CONTACT�RSON: .�oe Far,r MOBILE/PAGER: Z.. z.3 - o <br /> MAILING DRESS: _1303„9 �!i as�p � �Z$2CITY: /�►�g�l�„d/j� ZIP: O <br /> STATELIC�NSE: # Z,o3��33�. EXPIRATIONDATE: 3 zo <br /> ARCHITEC�'/ENGINEER: PHONE: <br /> MAILING A�DRESS: CITY: ZIp; � <br /> NAME: REGISTRATION: # <br /> ; <br /> TYPE OF WdRK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration <br /> PROPOSED 1WORK(describe in detain: <br /> STORIES: Z SQ.FEET OF EACH FLOOR: /,foD �9e0 <br /> NO.OF BED OOMS:�_ GARAGE STALLS: ATTACHED_,� DETACHED <br /> � <br /> ESTIMATED'CONSTRUCTION VALUATION(excluding land): $ �D <br /> I hereby apply fbr a building pernut and I acknowledge that the information above is complete d accur te; <br /> that the work w�ll be in conformance with the ordinances and codes of the City and with the State Build g <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 wlith the approved plan. <br /> APPLICANT'S SIGNATURE: ,��0 DATE: / -/ -B <br /> 31 <br />