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� <br /> Ta�tal Fee: $ ��' S3 DateReceived: �-�'D 7 <br /> Entered By: _�� Permit#: A07S�.S � . <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforfnation) <br /> THE APPLICANT IS: (circle orae) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �f�C�f ���-C �1��� �� ZIp; ��� ��-�i <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event pernzit is required with Police Departnzerzt mzd <br /> City Council appr-oval 60 days prior to the event. No�z-pe»nitted <br /> events will not be allowec�. <br /> NAME OF OWNER: ��A � ��`l i�7�S PHONE: (home) c1�Z-�'�1 Z -�7c'� <br /> (work) �t Z - '7v 3-LZ.Sg <br /> MAILINGADDRESS: �G�' � � �-' SN��� ��+` CITY: �'�c �--'�� ZIP: SS 3�4 <br /> CONTRACTOR: a �� '� ��= PHONE:!`S Z - `f"1 L-P�'��c1' <br /> CONTACT PERSON: �x1 ,� � ��,� � � MOBILE/PAGER(� �2 -70 �7 ��zZS�� <br /> MAILINGADDRESS: `fc����/ - -�' - ��-���,� � i��� CITY• c��'s�� ZIP: ��'���Y <br /> STATE LICENSE: # - EXPIRATION DATE: — <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 in detail): �SCc_.� S� C� v���(�,.�L �a��� � ti-'E , <br /> �C��� b�, ���_ 'f�� ��i� `?uc,���S ►tiiLc3 ' CLuS�� � :�4 r7iJ '7E-c� <br /> z <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: `�' I S � r����= 5 t� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTAC�-IED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � `��t��?f� <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 i t to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> �.� -- <br /> APPLICANT'S SIGNATURE: DATE: S � �� ' �=`f <br /> 9 <br />