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r <br /> . <br /> Total Fee: $ /i��� ' �� Date Received: ������v S <br /> Entered By: �/Z.`� �)� Permit#: �n `',��i�! <br /> v��iV� � ' .�.-"/ <br /> �, <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> z J 515�35'�- <br /> JOB SITE ADDRESS: �S � �G�� s' ` ZIP: L.� <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 Ciry Council approval <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 /> d PHONE: home � Z�-�{�1��07�Z <br /> NAME OF OWNER:h�c� �r���/��i CtiN-. �Y ��'�� ( )�� <br /> p / (work) �/z-lo?�--//�Z <br /> MAILING ADDRESS: ��`-� �C'^-/� �7' = CITY: , �<� �i ZIP: " - <br /> CONTRACTOR: (� GJ i�1 � PHONE: ��/Z�--G� 7�� -%/�� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: ��T o CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> t / <br /> ARCHITECT/ENGINEER: ��G� �j� ' •-r � Y� � , PHONE: �5 Z - ��{(v - � �7 l�G� <br /> MAILING ADDRESS: ��;z � � jr,/��;,;,.,��I�. : ��✓�..-�/�-�7�P: <br /> NAME: ��,�� RL�L�"�I�TRATION: # '� <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPO ED WORK(describe in detain:���✓ •-,��-,���,���,� ��� ��J , f'��.,..P �,� � <br /> 1 � <br /> STORIES: � , SQ.FEET OF EACH FLOOR: f Z(j U <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> �D <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��U/ �C�CJ� � <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 ardinances 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: � O � <br /> 31 <br />