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' r � <br /> �. � <br /> Total Fee: $ j ��''-� C�� DateReceived: ��/� S /°�� <br /> Entered By: __ /� E'� Permit#: ,/�J/�1�'�2-- <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 ONTRACTOR <br /> JOB SITE ADDRESS: � b -� 0 4 ZIP: `�S`��y <br /> Witl this be a Parade of Homes, Remoctelers Showcase Home or othec•Display Home? <br /> ❑ Yes �No If yes, a specia!event per•rnit is r•eqt�ir•ed with Police Department m�d City Coarncil approna! <br /> 60 days prior to the event. Shirttle bus servrce wil!be reqaiired unless applicant demonslrates <br /> sufficient on-site parking is available. Non-permitted ei�ents rvi(1 not be allowed. <br /> NAME OF OWNER: /�i` C�c�� er` PHONE: (home) ���" �r� �� <br /> � , (work) '' <br /> MAILING ADDRESS: �� � v'd n a `��� �ITY: ���v -• ZIP: ,SS� <br /> CONTRACTOR: J C^- `�rn•-� - ^ � � PHONE: ��'a-SG ��/,�� <br /> CONTACT PERSON: a.--�- �/ �� MOBILE/PAGE • �` ^ � <br /> MAILING ADDRESS: � �� c CITY: n v�: - ZIP: 5..� � <br /> STATE LICENSE: # �7 EXPIRATION DATE:�� <br /> �r, ,:/t�— - Q a—�"'J��e ��% —D�'.�` <br /> �: �/� � Du CJ P ONE: �G.� � <br /> MAILING ADDRESS: y/rs� •�P CITY: �v s- ZIP: �'S� d.3 <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windowsl _�_ <br /> Any earth moveme may�requir1e CWD�e/view and per its ! <br /> P PO ED W RK(describe�n detai�: Q m��f�. �/ �6C rf�o-v��f ^ B� � <br /> �— �.�� ` � -� z � //' � <br /> 2- '�` °"•� �"� � ��, ,�, <br /> `oc� ' <br /> STORIES: / /SQ.FEET OF EACH FLOOR: ��� ��� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED O DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,�SU'`'�' �- <br /> I hereby apply for a building pecmit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance witll the ordinances and codes of the City and with the State Building <br /> Code; that I understand this is not a permit d work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> r ' . � �/ <br /> APPLICANT S SIGNATURE: DAT�. � .1 O � <br /> �i <br />