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` I � fJ', <br /> �lti � <br /> Total Fee: $ o?/d,f 3 Date Received: �V 7g`f� <br /> Entered By: Permit#: b � �1 /�-j <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleas�print all information) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNEF�OR CONTRACTOR <br /> �_� <br /> JOBSITEADDRESS: _��Z�t�, �c`,}��c;. �__,� �cic�_ _ZIP: `.� L} .�1�-,i_i <br /> Will this be a�'arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Ye� � NO If yes, a special event permit is reguired with Police Department and City Council approl�al <br /> �� 60 days prior to the event. Shuttie bus service will be required unless applicant demon,strates <br /> suff c�ent on-site parking is ai�ailable. Non permitted events will not be allow•ed. <br /> NAME OF OWNER: .)�_ � , -t c" �,'�c.�j�^`,�•v �-�-•- PHONE: (home)�'�; ..y-- :i�•,._ <br /> � (wark) )� "3 =,�y ?"=;2� <br /> 1VIAILIN(UAllDRESg: _l'1.`�5;� [ ;-�,�>>�,�_ L�•;�c�c�. t�, CITY: 11�;��.; �„�,__��,I�: �.�t,�-`:i_ � _ <br /> C�NTRAC'�'UR: __�ti'� --- --�HOitik: _ _i__ <br /> COI�ITACT PERSON: �' ;�:;.G:: \`ti�, 't� .-1:>,,�G"�_ MOBI�,EiPA�ER: t��!"L r���t [_'�t.i'-- <br /> MAILING ADDRESS: �� Cl l'Y: 'LIP: <br /> STATE I,ICE]�1SE: # � E�PIRA�CION DATE: <br /> �RCHITECT/El�(pINEER: PFIONE: <br /> MAILII�G ADDRESS: CITY: �I'�; <br /> NAME: REGISTRATIOW: # <br /> TY�E OF WORK: New Addition Accessory Structure x, <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in det�i�:��{}o.�hrc,l ��l r�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ((�(�O("� ,�C <br /> 1 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 Ciry and with the State Building <br /> Code;that 1 understand this is not a permit and wark 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-�- DATE: ��, - 1�1 - ��� � <br /> 31 <br />