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� . <br /> ' e <br /> `// �./n� <br /> , .. ..� � � � �. � !'/ " J ��. <br /> Total Fee: $ ` � `. � Date Received: �"���i�3 <br /> Entered By: ,_ . _ ;_ Permit#: -� ��.�%�r� <br /> � � <br /> � . <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 infof•mation) <br /> THE APPLICANT IS: (ci�•cle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � �'f y� /c0�c. .S�, ZIP: <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�•egirired with Police Depardnent and Citv Coirncil approval <br /> 60 days prior to the event. Shutt/e bus service will be requi��ed In�less applicant demonstrates <br /> su�cient on-site parking is available. Non pern2itted events will not be nllowed. <br /> /� 763 <br /> NAME OF OWNER: �.Q�Il�Ij.5 �G G�+ �P.S PHON�: (home) 3�3 /,r'S'� <br /> (work�l,2 ,3�0�1 7 75 O <br /> MAILING ADDRESS: /,377/ Pr f.shir� Lh CITY: ZIP: s3o� 7 <br /> CONTRACTOR: �.S'�/l�..� PHONE: (v/,2. ,36 9 77S'O <br /> CONTACT PERSON: �S'cr rn •� MOBILE/PAGER:�[1 36 y 77S`t� <br /> MAILING ADDRESS: ,S'G"., .� CITY: -- ZIP: ---� <br /> �� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> �SC�kJlt TYr„� �6 .� <br /> ARCHITECT/ENGINEER: �Qa„� p.eSi��, PHQNE: 7&-S �lD.S' <br /> MAILINGADDRESS: [��2� f�l(,�/f� jd /J/. �. CITY: 'rp,�;H� /7a,./�ZIP: �"'��.1, <br /> NAME: �i�CS Sc litti��f*rs REGISTRATION: # <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descs�ibe if�detai�: � ; ,;� �_i,� ,��s_.- <br /> STORIES: I SQ.FEET OF EACH FLOOR: ,37p0 <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATTACHED 3 DETACHED 3 <br /> °fL. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, (>UG. ODU <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the �vork 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�vithout a pern�it;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ATE: '7-- ��.—OS` <br />