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. ' � _ n� <br /> � ��� <br /> Total Fee: $ lo�/ 9. 5� DateReceived: 9-/.5-0�j <br /> Entered By: Permit#: �q(��/�'(o <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 i�nformation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � � C� � , �.-�,.;,._ �(� ZIP: S � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Depar-trnent and Cih�Council approval <br /> 60 dca��s prior to the event. Shutt(e bus se��vice will be required unless applicant dernonstrntes <br /> st{fficient o�z-site parking is available. Non pern�zitted eve�its will not be allowed. <br /> NAME OF OWNER:�,� �-���,�/ ���,e�r PHONE: (hoine)'7�c - 7SC g -7S) Z <br /> (work) <br /> MAILING ADDRESS: �l►I 3 i.��,p�,,,� L,�% CITY: �+a n��,vA ZIP: y��c.,5" <br /> C�r� <br /> CONTRACTOR: � �� PHON :G�� � C�U-��'� � <br /> CONTACT PERSON: -� MOBILE/�'AGER: <br /> MAILING ADDRESS: ` � � CITY�1�-�.��, Z : c��� y <br /> S'TATE LICENSE: #_QCy-�3�(��v EXPIRATION DATE: 3 ,� <br /> ARCHiTECT/ENGINEER: � ,�,�, (?�� PHONE: ���/Z- 3�S`-��7�, <br /> MAILIN,G�DDRESS: 5��� i��,��Q�,�,; �� CITY: ZIP:���1� <br /> NAME:C?�v,� ���-��.�z .~•.><,--�'a ,�" REGISTRATION: # <br /> TYPE OF WORK: New�_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: _ � ' R� o� ���"��j„�,, ����c„� � <br /> S'd'ORI�S: � SQ.FEET O�EACH FL0012: (��, �� O ��� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: A'TTACHED��' DETA HED <br /> ESTIMATED CONSTRUCTION VALLTATION(excluding land): $ � C� O d b O �G <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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 peiznit and work is not to start without a permit; and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:C,�,�.� ,� e � �DATE: � <br /> 1 D,rr^_r"�� <br /> � 'Q� <br /> JI <br />