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Total Fee: $ �-�O• u(v DateReceived: �/�i-.� - U �� <br /> Entered By: �, Z- Permit#: ;-;��� �(�� � <br /> �� a <br /> �,�.?`� `�� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> \�u <br /> �� <br /> All information must be submitted in full before plan review will be startecl. <br /> (please pr•isit all inforniation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �� �� ` /f�,�j'7�� �/^� /�i� �f�ar��ZIP: ��� 3 � � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � NO If yes, a special eve�7t per•init is regt[ii�ed with Polrce Depar•trnej7t ai�d City Council approval <br /> 60 days pr•io��to the event. Shzrt,lle bzrs service tivill be r�eqz�iJ•ed a�n/ess applicant demonstr•ates <br /> szr�cief�t on-site par•king is avarlable. Non-per•rnitted events�vill not be allorved. <br /> NAMEOFOWNER: ,To�� �-fG��� /�%ctr'�i�l�So/? PHONE: (home) `l5�.� �17�` c!'��7 <br /> (work) �/.Z- S`S�— S'�.2.� <br /> MAILING ADDRESS: /02 flS�� ��� L�r. CITY: L�,� a6��- ZIP: .s S3�� <br /> CONTRACTOR: ��i�l� /l/��c� �Os�.i�f''u e�J�a<1 PHONE: �v�.,Z -'.Y��-.3 e'-1 �/ <br /> CONTACT PERSON: ,L�,`!/ �r o �c J'` MOBILE/PAGER: �/•� -�'3 l`�-3 0� �{ <br /> MAILING ADDRESS: 7v �'� L�r S�`, CITY: p<r�e�r�':�/ ZIP: '3S`7 <br /> STATE LICENSE: # /�� -Z U.��6 C'O:3 EXPIRATIOI�'DATE: � 0 6 <br /> � <br /> ARCHI'I'EC'T/ENGINEEIZ: ���� PHONE: <br /> MAILING ADDRESS: � CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PROPOSED WORK(describe iti detail�: r�c��I� L� � :S�'<<-I o.� ��i`'� <br /> ov t'� �c. vr �',r-�sf� nr 1��r 1-1 �� r.r���F ��e'�� � <br /> S'I'�JI�IES: �_ SQ.FEET OF EE1C�I F'LOOI�: <br /> N�. OF BED�tOOMS: GARAGE STA�.,L,S: A'I'T���IED �E'I'ACI-�E� <br /> o_,- <br /> EST'IIVV�ATED C'ONST'I2UC'TION VAL,i1A'TION(excluding lanc➢): � �2 � !1 G� U <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork�vill be in conformance �vith the ordinances and codes of the Citv and�vith the State Buildina <br /> Code;that I undei•stand this is not a permit and work is not to start witl�out a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATLTI2E: �%�/.�l���-Z-• � ATE: �G' -� �7 l✓;f� <br /> 31 <br />