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t <br /> Total Fee: $ :/��J ��' Date Received: ?� r`Z3 f U S <br /> Entered By: �,v'v�'� Permit#: j��;-�� (c�G <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priiit all informatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle o��e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: i 5/�� ;l� ry!'I �`Z�- � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, n special event permit is required ivith Police Deparbnent and City Council appr•ova/ <br /> 60 days p�•ior to the event. Slzirttle bus service W�ill be regz�ir•ed zmless applicant dei7:orzstrates <br /> si�cient o�a-site parking is available. �'or�-per�nitted events will not be alloi�vec�. <br /> NAME OF OWNER: �t?I'G� ��^�9c'-v :'1 PHONE: (honze)9'�a - �7�>�3( <br /> (work)l�rS� <��1��'�� <br /> MAILING ADDRESS: i° J� CITY: v'G� ZIP: <br /> CONTRACTOR: •��'� ��r ��, �����s PHONE: ��i� �'-��'�' �-�v��7 <br /> CONTACT PERSON: `�j'jvy, ��,,,�,r� MOBILE/PAGER: �a<rne , <br /> MAILINGADDRESS: ���^� L'�rr�rn�.v,y ��� CITY: y��,�/� . ZIP: ' S <br /> STATE LICENSE: # ��'�8� EXPIRATION DATE: 3 -�i — a!P <br /> ARCHITECT/ENGINEER: --�-- PHONE: —^ <br /> MAILING ADDRESS: -� CITY: —��: <br /> NAME: �----- REGISTRATION: # ---- <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ �Pc,� <br /> PROPOSED WORK(describe iia detcri�: <br /> STOI2��S: 5Q.F��'d'OF EACH FLOOIt: <br /> NO. OF BEDROOMS: GARAGE STALLS: AT'I'ACI�ED DETAC�IEI� <br /> ES'TIMA�'ED CONS�'RiJC'�'ION VAI�LJA�'IOI�1(excludirag land): � ��ofc9 `� <br /> I hereby apply for a buildin�pennit and I acknowledge that the information above is complete and accurate; <br /> that the���ork�vill 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 permit and work is not to start without a permit;and that the work wi II be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ��a.�1.s <br /> ;1 <br />