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, . L.fy/ �- /g D� <br /> - �����. <br /> _ - •,��� 'Yr t '«"'� <br /> Total Fee: $ 3151. 28 Date Received: ja"�-� �'� � � ��, <br /> u,,, � <br /> Entered By: Permit#: ,�Q�� �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pr�i�it all info��nzation) <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (ci�•cle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � � �() i1/jiry-�_ .S��r �� ��, ZIP: ��` ��</^ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If>>es, a special event permit is required with Po/ice Department mzd Cih�Counci!approval <br /> 60 da>>s prior to the event. Sltuttle bus service yvil/be required un/ess applicant clemonstrates <br /> su�cient on-site parkirtg is�ivailable. Non pe��mitted events will not be c�llowed. <br /> NAME OF OWNER: ��;",�,,, j Gv�1 /�' PHONE: (hoine) �t< `�� ���� <br /> (work) ���� -31���I c:Q <br /> MAILING ADDRESS: ��17��,/�/art�`�l�.r,n-e�;�l CITY��r��/ ZIP: � � <br /> R: � - ��a�r,�� i7- PHONE: %��<; �-.�Z� �71d�'J <br /> CONTACT PERSON: ��,,.,., -� �� �U,�„b�/ MOBILE/PAGER: <br /> MAILINGADDRESS: �,�S�L�cl�l�� '�zl�-i CITY: J� �� � ZIP:J�`3�� <br /> STATE LICENSE: # EXPIRATION DAT�- <br /> ARCHITECT/ENGINEER: 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�n detain: <br /> STORIES: .L SQ.FEET OF EACH FLOOR: /.�, �,�,� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DE'�'�CHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �L �C/ C� v0 <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 to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ti,,. � DATE: ��-� '� � <br /> 31 <br />