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, <br /> °-� Z �S <<<i G <br /> Total Fee: $ Date Received: <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 CONTRACTO <br /> JOB SITE ADDRESS: / �-��/� i`�;�� I� ,c) ; � ZIP: 5 S 3 6�/ <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 reguired with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �,��, � L ��,� k s c.�� PHONE: (home) y)z-y//� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: i��I�,� C:.�.�;�� ..:J ,�.,_ , ,).�,,�y v _ PHONE: �.s � y 5/-iz=r� <br /> CONTACT PERSON: �c'-� 6�,�-y (�.��,,,,,� MOBILE/PAGER: 6 r Z 3 6 6 �-�v 2��j <br /> MAILING ADDRESS: � �3 zz�;�e N�:f�-, �� ,`�, �}�-, CITY: r w k�.--,�(�_ ZIP: � ����y <br /> STATE LICENSE: # z ��-�5�-�S� Y 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 X <br /> PROPOSED WORK(describe in detai�: /`eA�- ���� A,�,� � e r�_ I �l u�Se a.�,15 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 �'<-� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 /> i � <br /> APPLICANT'S SIGNATURE: � ���,�� DATE: � -� 1 -u_>"- <br /> 31 <br />