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�l�`''—_ �-t� <br /> • g,as oS' <br /> J <br /> Total Fee: $ .6 Date Received: p '��✓"0� <br /> Entered By: Permit#: ��90 7/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a/C information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR O TRACTOR <br /> JOB SITE ADDRESS: ��� �612 2 ��� ZIP: SS <br /> Will this be a P rade of Homes,Remodeters Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Sharttle bus service will be reqz�ired zmless applicant demonstrates <br /> sarfficient on-site parking is avnilable. Non-per•mitted events will not 6e allowed. <br /> NAME OF OWNER: �2. ''�' +� , PHONE: (home) 2 ` d�9 <br /> (work) <br /> MAILINGADDRESS: �V1� l�.g q�v-e CITY: O(�ND ZIP: '�i �39? <br /> CONTRACTOR: v� �rn`�.�• t'� � PHONE: ,�IZ� � � „3 <br /> CONTACT PERSON: 3 r, MOBILE/PAGE : 6 <br /> MAILING ADDRESS:,�Z 5 � 1 .e CITY: ` ZIP: J���9 <br /> STATE LICENSE: # O EXPIRATION DA E: � � 3 /—ZL�� <br /> ARCHITECT/ENGINEER: � �� 4�1�-e PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure� <br /> Move Home Remodel/Alteration <br /> � <br /> PROP SED WORK(describe in detain: <br /> e <br /> STORIES:( �� Q.FEET OF EAC�-I FLOOR: �� <br /> NO. OF BE ROOMS: GARAGE STALLS: ATTACHED CHED Z_ <br /> — � <br /> ESTIMATED CONS RUCTION VALUATION(excluding land): 25. .� <br /> �hereby apply for a building permit and I acknowle e that the information above is complete and accurate; <br /> that the work will be in confor�nance with the nances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit work is not to start wi t a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />