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�.�"' <br /> w <br /> Total Fee: $ �� /� �v Date Received• d-7-O.� <br /> Entered By: Permit#: /9 O (o ai <br /> � <br /> CITY OF ORONO-BiTII.DING PERNIIT APPLICATION `� <br /> All informatiom m�st be submitted ie fnll before pla� review will be started. <br /> �AleasePrint all�irfa'nmtion) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JUB STI'E ADDRESS: �I S S� /S(Q h �udv�v D 1- ZIP: S S �S <br /> Will this be P de of Home.s,Remodelers Showcase Home or other Display Home? <br /> ❑Ye.4 NO If yes,a special event permit is required with Police Deparhrrent and City Cou»cil approval <br /> 60 days prior to the event. Shuttle bus service will be required unless appllcant denioirstrates <br /> su�''icient on-site parking is available. Non-permitted events will not be allawed <br /> . (�II C�IJ-�v�- 17J` � <br /> NAME OF OW1V�R ! � ��W h � t� PHONE: (home) <br /> MA,II�ING ADDRESS: ,�/.� �� /ve� �po�,�,w CITY: h �� (�ZIP: SS 3Sfc� <br /> CONTRACTOR: S i r��ti� u�.. �u .+1 �j e�- PHONE:3 Z�-2 J`1 -s�b �- <br /> CONTACT PERSON: �a v e l�a i �. MOBII.FJPAGER: 3 Z�- S3 y_ y,�/�3 <br /> MAII,ING ADDRESS: S�S / S� F o rf I�J� CITY: J f. C +.c� ZIP: S l03 o S/ <br /> STATE LICENSE: # �u Y S �jSY/ EXPIRATION DATE: G <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CTTY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessflry Structure <br /> Move Home RemodeVAlteration(ie:Siding,Windows) � <br /> P OPOSED WORK(des ribe in detail): �h J�A � �r 1- r►, w �t <br /> e i J� w T � ' <br /> STORIES• � SQ.FEET OF EACH FLOOR <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �o � <br /> ESTIMATED CONSTRUCTION VALUATION(eaclnding land): $ s �U <br /> I hereby apply for a building permit and I ackaowledge that the information above is complete and accurate; <br /> that the work will be in oonformance witb the ordinances and codes of 1�e City and with t�e State Building <br /> Cnde;that I un�stand this is not a pennit and work is not to start without a permit;and that tt�e work will be <br /> in acco�+dance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��� <br /> 31 <br />