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Total Fee: $ Date Received: /-z-/- �� � <br /> Entered By: ��T Permit#: /�� �°`�'f�C�% <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 informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER OR CONTRACTOR <br /> �/ > � <br /> JOB SITE ADDRESS: —/� G�C� [�!f"� � ��' ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ lv0 If yes, a specia/evend perrnit is�-eyuired with Police Depar-h»ent and City Coau�icll c�p�roval <br /> 60 days prior•to the ever7t. Sl�uttle bais ser•vrce rvill be reqtiired a�nless appllcant deinorzstr•ates <br /> szrf�icie�lt a�-site parkin�is available. Non�ermitfed events will not be nllotived. <br /> ; fi <br /> NAME OF'OWNER: �!� -��J G�e l"' PHO�1E: (home) <br /> � ,' , (work) <br /> MAILING ADDRESS: Y� LG� << L�� � CITY: u � �� ZIP: <br /> CONTRACTOR: � / ' "�z ��5� LO ��'C PHONE: I L S/��(�� <br /> CONTACT PERSON: MOBILE/PA ER: n `' <br /> MAILINGADDRESS: J�l ���u CITY: Z��G ZIP: � <br /> STAT�LICENSE: # 7 U� 3D3�f�1 EXPII2ATION DATE: 3 3 � <br /> ARCHI"I"EC'I'/ENGINEE�Z: PHONE: <br /> MA�LiNG ADDRESS: CIT�': �IP: <br /> NAME: REGIS'I'RATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: S'ding,Windows) " <br /> PROPOSED VVORK(describe in cletai�: �oU�� ���G U����e �o�� <br /> STOI�IES: SQ.�'�E'�'O�EE1C��FLOOI�. <br /> NO. O� BEDR�OMS: GAI�G� S'TAI.LS: A'T'�'AC�-IEI) I9E'�'E1CHE� <br /> EST'I1VIf1T'ED C0:�ISTRIJCT'IO�VA�I,�T�T'IOl�(excluding land): $ 7�'�, � <br /> I hereby apply for a building pennit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance�vitl� the ordinances and codes of the City and with the State BuildinQ <br /> Code;that I understand this is not a pei-�nit and worl<is not to start�vithout a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> AP�LICA�1'I''S SIGNA'�'�TRE: �r�'I']E: � � <br /> 3l <br />