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. . <br /> Total Fee: $ /�, 7�� 3 9 Date Received: " ��� <br /> Entered By: -T Permit#: _DD l <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: ��L� �C F2.t I� I��2 u'VI t7✓� i I!� 7�P: ��i 3Cv�/ <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. Shuttle bus service wil/be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> '7'"I Wlo rl{L; I��L�-I ZZ�� `r5� <br /> NAME OF OWNER: PHONE: (home) �T� — ���Z 3 <br /> (work) �� - 3��d1�� <br /> MAILING ADDRESS: �c �c���.�� f�wl D2 CITY: �y,��p ZIP: ���� <br /> CONTRACTOR: �;���,;� i�_,12pS, GC)lu S T",,,L).`C��, PHONE: y�oZ-71-J-�-��� <br /> CONTACTPERSON: �7�y{,�� �F��►� MOBILE/PAGER: q��-.a9o-- �r�3p <br /> MAILING ADDRESS: � ,gt;� !Z�„ CITY: N�= R2,�;wc, ZIP: S�7I <br /> STATE LICENSE: # r!f � EXPIRATION DATE: 3%�i %Z� <br /> ARCHITECT/ENGINEER: PHONE: �Z .. T�33�?!0 <br /> � MAILING ADDRESS: ��;�k�T 3��, ;�.�� �� ;�'� ITY: ZIP: <br /> 5 NAME:� d�i,�ti; ,�G;;,a� REGISTRATION: # <br /> � <br /> --- <br /> ¢- TYPE OF WORK: New Home �_ Addition Accessory Structure <br /> (� Move Home Remodel/Alteration(i.e.:Siding,Windows) <br /> � ` `::Siri�c�u��tl� nt���i�r�nlcl�t n�cn�rc�c�uii�� ,��1C'l�'D Re��ie�r u»rll'c�rrni!! <br /> PROPOSED WORK(describe in detai�: (�p�;;Y�i,�;iu t� �i= Ni�(�: i-�oL�i/)� <br /> � ri1JiSH , h� �'�'r'�9T �� <br /> 0 t-,n W�t:i 3.:�F��'� <br /> � STORIES:�_ SQ.FEET OF EACH FLOOR: 2i7� �c� �� <br /> NO.OF BEDROOMS:_� GARAGE STALLS: ATTACHED�_ DETACHED_ <br /> J <br /> . ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /�b��i� 3� � <br /> 5 <br /> n 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 wark is not to start without a permit;and that the work will be <br /> in accardance with the approved plan. <br /> APPLICANT'S SIGNATURE: �';�-� „5.., DATE: � /� O <br /> 31 <br />