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' �c <br /> Total Fee: $ �`�• Date Received: ,� ' -��J <br /> Entered By: Permit#: `���7�-/G <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pj�int all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT iS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: r�� S .� Qu.C r .�� �dc w c� ZIP: ���� � <br /> Will this be a Pa��ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a s�ecial event pei•rnit is required with Police Depnrbnent and City Council approval <br /> 60 days prior to the event. Slzarttle btrs service will be requir-ed unless applicant demonstrates <br /> sirfficrent on-site parkirzg is available. Non pernzitted events will not be allowed. <br /> NAME OF OWNER: ��y,r�ei �1 o�S�� PHONE: (home) SZ- 7� " ) �y2 <br /> (work) S z- 2y0 -3o r � <br /> MAI�,ING ADDRESS: � ��.� � (�Tm� �� CITY: C��O�c� ZIP: ����3 ?� <br /> CONTRACTOR: SZ �� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZI�Y: � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �"-�� PHONE: <br /> MAYLING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIOiv: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodellAlteration _� <br /> PROPOSED WORK(describe in detai�: �Q p�^�� �Ar� p ���.r� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> 0 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �d � <br /> I hereby apply for a building pernut 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 pernut;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNAT DATE: �S- �7"�S` <br /> 31 <br />