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Total Fee: $ Date Received: �`� I�� � �J�� <br /> � <br /> Entered By: Permit#: .�1 j,7, �(� <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 OR CONTRACTO I�b��� I�SSO . <br /> JOB SITE ADDRESS: �7?� C� �0�' � W ' ZIP: <br /> �� �- y w�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or b�Yher Display Home? <br /> ❑ YCS �NO If yes, a special event pe�-rnit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shzrttle bars service tivill be reqaiired unless applicnnt demo�tstrates <br /> sufficien on-site pa�-king is availahle. Non pennitted events will not be allowed. <br /> �,�r•Q.o c�r�► �Y s i�,..�', <br /> NAME OF6'�LR: ��h,Q ��/(/ PHONE: (home) (o/a�7�7�g�� <br /> (work) <br /> MAILINGADDRESS: � ,.'� �, �1� �1 ��.;_; l�.`=r � CITY: �I�l7Yl0 ZIP: <br /> CONTRACTOR: ��{'1 f'1 SUYt �ULC�-C PHONE: ���'�73-�a 9/ <br /> CONTACT PERSON: MOBILE/P ER: <br /> MAILING ADDRESS: p 7 S'� CIT�': �l,�,V ZIP: ��" <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 detai�: ,�j Gu,�G� � �Gh <br /> STORIES: SQ.FEET OF ��n�� ��+ w X ��f-I-i x �g ��dee� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���U ��'1 C� <br /> . . . /a.�-�d Sc �, <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 /> APPLICAl�iT'S SIGNATURE: DATE: b 'IC� '�� <br /> 31 <br />