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. 1/'�' �✓D� <br /> Q�'� <br /> v <br /> Total Fee: $ ���•�� Date Received: � �� Z ���7 �, <br /> � Entered By: GnYV� Permit#• A�(�,� <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 inforrnation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: ZS'fl Z ��� /�t/�..�. ZIP: SS3 3 , <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 Depa�•tmenl and Ciry Council approval <br /> v �• <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> ,.._ . gSZ_ <br /> NAME OF OWNER: � Q�'J �� 't"C(-�� �-� PHONE: (home) •- ��2.�T <br /> (work) (c �2_._ 'Z. ( � � <br /> MAILING ADDRESS: s}���c CITY: ZIP: i�9,*t p <br /> CONTRACTOR: �! �1�J��74- PHONE:��3�3 <br /> '�-�oc-v <br /> CONTACT PERSON: �-� MOBILE ER: �?�03 ����..: do S <br /> MAILING ADDRESS: � rp.- �w �r'�ITY: ZIP: -��� <br /> STATE LICENSE: # � C.-2-�Z-�.► 2 XPIRATION DATE: .� Q <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may �e�re ^�� r ' ew and permits! <br /> PROPOSED WORK(describe in detuin: SC� /�{�- � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� ��� �fl <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 nd w is not to start without a permit;and that the wark wi11 be <br /> in accordance with the approved plan. � <br /> aPri,IcalvT�s sICNAT . vaTE: '7--�3�-a*7 <br /> �� <br />