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� ���� <br /> . � . � � ��� <br /> Total Fee. $ 9 y9.o Date Received. � 2' <br /> � Entered By: Permit#: �- ) `�. ���j <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Alt information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: , <br /> ��-- / - � ZIP: -J��r� <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��10 If yes, a special event permit is required with Police Department and Ciry Council approva/ <br /> 60 days prior to the eveni. 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 /> NAME OF OWNER: �}���,� (��J�l��r2 N(l�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS:� ' "� ` _E� CITY: ZIP: <br /> CONTRACTOR: / /IC1�61� t���sa�,�u�v ��[`L�w r�y�ONE: "�ISr�'��L-�`t S/ <br /> CONTACT PERSON: ��Tyrr �;`�,{,� MOBILE/PAGER: y�L-�/�--�3C g� <br /> MAILING ADDRESS:,��7_��?j?�.���.i, CITY: ZIP: r� <br /> STATE LICENSE: # rj'j/Q EXPIRATION D �/_' f ' `C� � <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 require MCWD ,xeview an permits ! <br /> PROPOSED WORK(describe in detain: •.v� � �, ,y � <br /> i iU� G.L+9��t .�+.Rt�2--- � �` � � �Z��/ �7 <br /> / <br /> � �'�' � �-u.���'�,U::: .� ,�3�e.�izt,*a � �r �f,� <br /> STORIES: S!.FEET OF ACH FLOOR: ' ��.ca� �C-�;�� , <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ,Q �---� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �J; `J�� <br /> ,, <br /> I hereby apply for a building permit and I acknowledge that tlle 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 /> � <br /> APPLICANT'S SIGNATURE: �� DATE: � � �� <br /> 31 <br />