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Total Fee: $ o�g7 S DateReceived: •� -�-�� <br /> Entered By: Permit#: �rj�' � �_ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all inforrnation) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �G o� L�a','a�C.� ��'r c�2 ZIP: S'�'3 3 l <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑1�I0 If yes,a speciad event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. ShLrttle bLrs se�vice will be reqarired unless applicant demonstrates <br /> suff cient on-site parki��g is available. Non pennitted events will not be allowed. <br /> /Jqw� nrc Le.rv� � <br /> NAME OF OWNER: �'-�n,�v rVl a !�z P� PHONE: (honle) 9s'a -��/-/2�� <br /> � work <br /> MAII,ING ADDRESS: Z G o s- �yul,'Q ✓�� c CITY: (�(�o��,� ( ZIP: g� 3 3 / <br /> �� <br /> CONTRACTOR: , �c c,� � �S�c.�'��IiONE: ��Z 92-S' - �3z-� <br /> CONTACT PERSO : / MOBILE/PAGFR: Gi2 e'S-- ze,�-� <br /> MAILING ADDRESS: G�� GJ. L fC. .fi�a��'►e� ,�/u,� CITY: ff'/ �S• ZIP: � <br /> STATE LICENSE: # �7sZ EXPIRATION D TE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration _� <br /> PROPOSED WORK(describe in detai�: P.��� �- ✓P �4 c �� � <br /> G� o�� Ah Qo� Q � ,` �" IP e � do0� <br /> � /04)L✓ ).etie � x ��s't��'t1 OrJPh�'✓�p S . <br /> STORIES: �T OF EACH FLOOR: , <br /> NO. OF BEDROOMS: GAR.AG ALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ ��� 3�0, dU <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 or ' ces and codes of the City and with the State Build'zng <br /> Code;that I understand this is not a pemut and ork i not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �/G/� S� <br /> 31 <br />