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���-�� �S� 53�� �- <br /> G �� � � <br /> . , -� �� ,�� <br /> Total Fee: $ 87/5! 7S� DateReceived: /��/p-d� <br /> Entered By: ��J,.f� Permit#• �fl 9a�o <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 CONTRACTOR <br /> JOB SITE ADDRESS: j 3 �7� �L-=S j f?Crti.'�i L..,l�' ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes,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: ����>�, ���,�,�� e PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: i,�:�,,�,��s�;�✓c=. J�-c-�ti =� i✓��.__- PHONE: �irL-�'��r�'�E� <br /> CONTACT PERSON: �,,,; �� �,,y��; MOBILE/PAGER �S Z._z•i 2 -� 4 Z y <br /> MAILINGADDRESS: �j j�s t'i:. ti�•� l�v�-s CITY: ��L��,�..,,i�;rzr-ZIP: S���3/ <br /> STATE LICENSE: # Zr"%'� '7C��j 9 EXPIRATION DATE: '3 -3/ -c'��, <br /> ARCHITECT/ENGINEER: ��,���L �-vg s s v�-. PHONE: ;,�';z, -�T�-5 3v 3 <br /> MAILINGADDRESS: �-j�v N 1.',.�wilLz.tn1 �i,— CITY: ��q,vL�� ZIP: (�, .y ��{TG,�' <br /> NAME: _(3 L��L REGISTRATION: # <br /> TYPE OF WORK: New x Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain:jZ��n���a,_ C x f s�►ne c. � T�u� rz�„�� .�- <br /> C-CJ alJ� j"2 v��f /�,1 L"'Lt1 ►i-c n1, - <br /> STORIES: Z-- SQ.FEET OF EACH FLOOR: L L -� �E j �s� /�) i.s 2�Z rZ � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��,�, �c�e� <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 /> /� <br /> APPLICANT'S SIGNATURE: ���_ _ llATE: /v --� _v�'— <br /> 31 <br />