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r � <br /> - Total Fee: $ ! ��- � DateReceived: ' <br /> EnteredBy: `�'"�=- Permit#: � r <br /> �_, <br /> CITY OF ORONO - BL'ILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�at all infornzation) <br /> -------------------------------------------------------------��-=+�;--------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �WNEI�,OR CONTRACTOR <br /> JOB SITE ADDRESS: ������� C-G/�7�1 �/�l CICt ��E� ZIP: _,��' �.�'-� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �i No If yes, a special everit permit is required with Poli.ce Departnze�zt and <br /> City Coacnci.l approval 60 days prior to the event. No�z-penni.tted <br /> eveizts will izot be allowed. <br /> NAME OF OWNER: ��l L�"_ ���/m {��DC��� PHONE: (home) �`�sx � �`:��/11��� <br /> (work)�5,� �_ . G�f��/`�X �3 <br /> MAILING ADDRESS: �GxfG�Lf1�?.�_ 11h��� �lo� CITY: (��D�Z r�' ZIP: ��"� <br /> CONTRACTOR: ���j�f�L�fs(Jf'J��'�� PHONE: <br /> CONTACT PERSON: �i�!� MOBILE/PAGER: <br /> MAILING ADDRESS: �5�����,-� �2S c�,f�if U� CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> /�" � f�--<��� '� �� ` � . r /� <br /> ARCHITECT/ENGINEER: a ,✓1 ��r7�r'1 �ji1�� ��- PHONE: �% ' �����'.%�.7 f <br /> MAILING ADDR.ESS: �� �� l�° �i a {`'�i.r �'h/f..• CITY: '�G�r,r,�,�,'w,�„1 ZIP: �����c <br /> NAME: �Oi� %��-+'...- �; � r� r REGISTRATION# %�3��(�� <br /> -� <br /> TYPE OF WORK: New Addition Accessor Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe irz detail): /�'' ,'" '"�T ��v1�,1�r,� � ��i`� '�s' ��x�' <br /> „ < 2 . <br /> /� � a �/' `; r, i '`J/� f 1� '� - 1 '-E'- � ��? <br /> , ���y��- <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��(� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /��, ���� <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 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: , �U.%� �� �.l ;J DATE: � � <br /> � � <br /> `�✓v! � 9 ��/�� � , <br /> / <br />