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.. . � �✓ <br /> . • <br /> , �AJ'" ��/�� <br /> � � ` ',�, i� �� ��Y ��. <br /> Total Fee: $ � �� i Date Received: � <br /> Entered By: / ��^✓ mit#: - �� `� ��-�; <br /> 1.��'�- <br /> CITY OF ORONO - BU G PERMIT APPLICATION <br /> ,- <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: ���(� r`�i�C �S'f' . 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 required with Police Department and City Council approval <br /> 60 days prior to the event. Sharttle bars service will be reqzrired unless applicant demonstrates <br /> sufficient on-site parking is available. Non pennitted events will not be allon,�ed. <br /> /� /� l63 <br /> NAME OF OWNER: �/{lt�f�.S' NG C �Y S PHONE: (home) 3 a 3 !$'S'� <br /> (work)rb.� ss6�s.��r <br /> MAILINGADDRESS: 1377/ ,�3oiffd���� �y�CITY: � � -, ZIP: 32 7 <br /> CONTRACTOR: � .r't� -e PHONE: �'�36 5 ?7S� <br /> CONTACT PERSON: .S�..�, ..¢ MOBILE/PAGER: <br /> MAILING ADDRESS: CI1'Y: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> -/ ��3 <br /> ARCHITECT/ENGINEER: �,p�rU'CS � !-}'Ss/, PHONE: �r�Y 5'S�oS <br /> MAILING ADDRESS: 72do j�h/�!� L�, CITY:''�?°�'�c,.�.,e. ZIP: 3�36c, <br /> NAME: ��.�,f� .�G17•�t � REGISTRATION: # � , � <br /> / <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/Alteration " <br /> > <br /> PROPOSED WORK(describe in detai�: " �(�1t1� � � : ' � U-�l J ' �� <br /> �� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED -,����CI�,— <br /> .:�� ��° o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): �- <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 /> APPLICANT'S SIGNATURE. -- `-,,r�—DATE: s(�!�'d5-" <br /> 31 <br />