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� � � <br /> Total Fee: $ ���• �J Date Received: j /� �C�S <br /> Entered By: ;� Permit#• f-�(�� �6���. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in futl before plan review will be started. <br /> (please print all i�iformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �j S�S �X�o��` f� f ziP: ��S.3rS� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �,NO If yes, a specia/event permit is reqa�ii•ed ivith Police Depar•tment and City Cozrr�cil approval <br /> 60 clavs prior to the ever�t. S1zt�ttle G2rs service tivill be r•egt�ir�ed zu�less applicant de��ionstr•ates <br /> sarff cient on-site par•Iting is avazlable. Non-pei��rrrtted events lvil!not be allotived. <br /> NAME OF OWNER: C-��.� / ,�. PHONE: (home)�,5�-s�7/--dDU/ <br /> (work) <br /> MAILINGADDRESS: �SS OX�JY'� �C� CITY: O���/1/rJ ZIP: S � S <br /> CONTRACTOR: � Oc/ � 2/ PHONE: 7(�3- �73 --33�� <br /> CONTACT PERSON: � � sl��,� MOBILE/PAGER: ��- 7/�-os�,6 <br /> MAILING ADDRESS: j 7So2s �'o r-�' ,�5� CITY: �''�"r�,�.or/� ZIP: �,��/� <br /> STATE LICENSE: # �'3 S� EXPIRATION ATE: v - 3/- D� <br /> ARCHITECT/ENGINEEI2: P�IONE: <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 detain: �'e i�-�� � � ic� ��ii--riel- �c� <br /> r��--oa�'�/i' � �U �ir- ���iz����-� s/,2-s�r -- <br /> S'I'ORIES: ( S�.F'EE'I'OF'EACI-I�'LOOit: <br /> I+1�. OF BED�2001WIS: GARAGE STALLS: A�"'I'ELC�iED �ETA�I'�E� <br /> a�� <br /> ESTIIVIA'TEI3 C'ONST'RUC�'ION VAL,i1AT'ION(excluding lanc�): $ ��, ��U <br /> , <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 tl�e ordinances and cocies of the City and with the State Buildina <br /> Code;that I understand this is not a permit and worl<is not to start without a permit;aild that the work will be <br /> in accordance with the approved plan. <br /> , <br /> APPLICAN'I''S SIGI�A'I'UI2E: �- DA'I'E: ���� —G� <br /> 31 <br />