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� <br /> , , �� <br /> � <br /> �" <br /> Total Fee: $ aJ� 7' DateReceive : �z/lT/ � <br /> Entered By: Permit#: <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 information) <br /> ---------------------------------------=-------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CO TRACTOR <br /> JOB SITE ADDRESS: ��7�� �/`��� ��V� ZIP: �j���7 �' <br /> Will this be a Parade of Homes, Remodelers 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. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��ri�o—� � ��C �G�pHONE: (home) <br /> (work)(p 2 7 ���� <br /> MAILING ADDRESS: (� R�� � CITY: ���0 ZIP: �G"" <br /> CONTRACTOR: fi�N rZ, �Yk�l'IRz�'i� �11 W�'� PHONE: td Z Zt-i'� p�'-� <br /> CONTACT PERSON: .��Vv�qy� Gyy�]�,� v�]YIOBILE/PAGER: �(p)� "�';Z�l <br /> MAILING ADDRESS: ��c.`QV�jJ f+�(/� � � CITY: j/j/��� ZIP: G:a%f � <br /> STATE LICENSE: # 2v���j��3 EXPIRATION DATE: �;��} ?��-� <br /> ARCHITECT/ENGINEER: _ } PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) <br /> "�<,1rry ecrr•t1t rr�t»�ernc�fti F�ru�°r��t�t�ire MC'WD I�'e��ie��sa� ctnrl Per•r�7ri' <br /> PROPOSED WORK(describe in detain: /�t�ITI O�t i2 �x�,�' <br /> � I,/-�cl N i�� j2�c>N1 k c,i'�,�tv�'� ��?� �v 10�-'T"tc��l <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��� <br /> NO. OF BEDROOMS: O GARAGE STALLS: ATTACHED � DETACHEDQ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (��� flC� <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 /> �O ��--- (� c� <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />