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:, <br /> i <br /> Total Fee: $ Date Received• ��2`i�0,� <br /> Entered By: �(�/l� Permit#: �U� ( �-I <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 al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOBSITEADDRESS: �� l L-,'l/� c� ���� N , 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 approval <br /> 60 days prio��to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> -�, � I'� j �-� -��C�L <br /> NAME OF OWNER: � � ��T�,��r �� i1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �I ���1q V1 (',��lt � � • PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �'� �;� � -1� ��_ ��/-r; �/, CITY: - �ZIP:'�_ <br /> STATE LICENSE: # � �.� i-' � EXPIRATIO D�'1 =� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> � , .�, <br /> PROPOSED WORK(describe in detai�: ;� � ,� � <br /> �' , `�, S .; �.� `d� — d�S� ^ k <br /> yv� �w v �lfiv � rJi.�, �' P � ` <br /> S� l� IV� �' � , �-0 �('!�-��( ��„^� l <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � ��,, <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� , T �,� , _ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work wil] 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 /> , � <br /> APPLICANT'S SIGNATURE: �;�..�i y�G�� DATE: � , �'` <br /> . <br /> ,J,. <br /> 31 <br />