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' �..-1 G'. � <br /> Total Fee: $ � �� � � � Date Received: -� ��� L' �- <br /> Entered By• ��,�� �: Permit#: ._��;� `7/<- �- � / <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 informatiora) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ie) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �`—��� �—� v � n� � �=-.� r; ZIP: 5 5 � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �`NO Ifyes, a special event per-mit is reqarired tivith Police Depar-tnaent afad Ciry Coiincil approval <br /> 60 days pr•ia-to the event. Slzuttle bzrs service will be r�equir•ed arnless applicant demonstrates <br /> � sztff cient on-site parkiixg is availnble. Non peimitted events will r�ot be allowed. <br /> NAME OF OWNER: ���C�,c� � K t✓t�; PHONE: (home)��S a �i�y�{ 7L> <br /> - (work) �-n� <br /> MAILINGADDRESS: L�,;�nq5-�z�-� /-��-'�. CITY: c:��'�:'�u ZIP: � �3 <br /> 'v <br /> CONTRACTOR: �,,�P�, ,�,�e r � S� i� � PHONE: �f�� ��f�.y 4�U <br /> CONTACT PERSON: c.,��,;-� k,�4 MOBILE/PAGER: <br /> MAILINGADDRESS:3�-{�� L�„,nyS'��-� �%� CITY: U":�.�v ZIP: aS3 � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> � <br /> ARCHITECT/ENGINEER: /��� �HONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> � NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Si mg�Windows) � <br /> �;�, �, <br /> PROPOSED WORK(describe in detai�: ��_,- �"��� �;��_ '�'�c� c:�� <br /> � ,�t��1I n� ��; ���;� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �_ D�- CHED� <br /> � � ���_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � O � - d��� <br /> r <br /> I hereby apply for a building pennit and I acknowledge that the information above is ec7rfiplete and accurate; <br /> that the work will be in conformance with the ordi ances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and w k is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> , <br /> �� APPLICANT'S SIGNATtiRE: r '�' DATE: � � CS�� � <br /> 31 <br />