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� C�-� ' i� o�f <br /> Total Fee: $ �a�8 a8 DateReceiv ,d: 1-1-i��, <br /> Entered By: '�'y�(>'l� Permit#: t (1; _ <br /> CITY OF ORONO - BUILDING PERIVIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all iitfOY/tIQt1011) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ae) WNE R CONTRACTOR <br /> JOB 5ITE ADDRESS: �� ��i� ��A� ��/�r ZYP� ���'�_ <br /> `Vill this be a ar de of Homes, Remodelers Sho`vcase Home or other Display Honne? <br /> ❑ Yes ti'o Ifyes, c�special eventperirtit is requit�ed witlz PoliceDepc�rtment and <br /> � City Council appr�oval 60 dczys pf�ioY to the evertt. Non per-�nitted <br /> events will not be allowed. <br /> /�7, � �/ � <br /> NAME OF O`VNER: `���� ��/�Y��� PHONE: (home) !�� -1 !�� `� <br /> �� / (work)'�`'�- �.1D �.�u�(P <br /> 1�IAILING ADDRESS: ��� �'''�� :Y�Lr���i�CITY: G'���� ��_ZIP: �`:;'-� <br /> g , � � - - <br /> CONTRACTOR: �1 �-i'-- ��,�%/1�c�i�� PHONE���� ���� � �� <br /> CONTACT PERSON: �0��; A� A�`i�✓� ��'IOBILE/PAGER: �- �JG �- ��� <br /> MAILING ADDRESS: =-S�u���� Ji���^� ,L��^�,,� CITY: (,t,) � E , + ZIP: ���'.�;'I <br /> STATE LICENSE: # EXPIRATION DA E: <br /> ARCHITECTIENGINEER: /l�l�/��%V ,��'_�I�i�° PHONE: <br /> NIAILIrG ADDRESS: CITY: ZIP: <br /> NAIVIE: REGISTRATIO�(# <br /> TYPE OF WORK: New Addition Accessory Stnicture � <br /> Move Home Remodel/Alteration <br /> PROPO�,SED WORK(describe ii: detain: �� �/��- �K'•s �� � �' r� -�l�i <br /> �lNr ��� �;�:, .�..� ��t'r, �� �z'� ;-,�'- .r <br /> I <br /> STORIES: �� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �7 GARAGE STALLS: ATTACHED DETACHED���Z, <br /> (r�U �`,r��,��x� <br /> ESTIMATED CONSTRUCTION VALUATION(eYcluding land): $ i <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 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 t rt without a permit; and that the work will be <br /> in accordance with the approved plan. , <br /> � <br /> APPLICANT'S SIGNATURE: DATE: �� ��� D <br />