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� <br /> Total Fee: $ /�o lo�c�, � � � DateReceived: ��`T-d� <br /> Entered By. / Permit#. � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: �2� L g S�a.�./ w o o� �oa� ZIP: S 53`t 1 <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: S�a�v w a o� L I..c. PHONE: (home) <br /> (work)5S� a�.3 Saa6 <br /> MAILING ADDRESS: ��O 1 �s-�,o� Q�a.ce.CITY: F.��-rt PM,�r�ZIP: �3 7 <br /> CONTRACTOR:��{'�11� L..o nw rna.�n ��,�.�I��-�'t �-nc. PHONE: y s'� q�l� -8�►.��o <br /> CONTACT PERSON: L.o c� MOBILE/PAGER: t�l� g o t - 0 5'�(e <br /> MAILING ADDRESS: q�{o t Pre s�-o� a c.� CITY: �(� P(�,����,ZIP: ,s� � <br /> STATE LICENSE: # � � (�(o EXPIRATION DATE: � - 3 ( - 0 8 <br /> ARCHITECT/ENGINEER: N 1� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�:, jj� a \�sl�. -Q.-�s`�t►� , <br /> 'C�n��-r�.� �n.e..�..� 5�Y� 4 l� -�..w`��.� [9--w����r�a <br /> �� <br /> �,.,a,..� —�� C <br /> STORIES: � SQ.FEET OF EACH FLOOR: sZ 0�q oZ-��3 I �-1 (�I <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED ` DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �00 . O oo - Oo <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: DATE: � '"� -08 <br /> 31 <br />