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, �. <br /> ? � � : �.C� <br /> Total Fee: $ ' La/�7 J Date Received: .S l�'�.� <br /> Entered By: �_T.�_,��nc� ` Permit#: i408 70,�"' <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 /> -- ___ <br /> THE APPLICANT IS: (circle one)�OWNE R CONTRACTOR <br /> JOBSITEADDRESS: ;�.3oD �h �uP no 1� Ir��-(e zir: �3�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO /f yes, a special eren�per�nit is��equired with Po/ice Department and Ciry Council approna/ <br /> 60 days pr•inr to the e��ent. Shi�ttle bus service mill be required unless applicant demonstrales <br /> sufficient on-site parking rs availab/e. Non-permitted events will not be a/lowed. <br /> NAME OF OWNER: .�r�U�-QQbi�1 � �u.rF� PHONE: (home) 9,-r��?-�I'J.5 Q�(,�; <br /> (work) '7(QS-•7�}7-�i5�� <br /> MAILING ADDRESS: ,�?,�'j(� [��.1� �� n�� CITY:�p ZIP: /Y)/L� <br /> CONTRACTOR: J��� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure �_ <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: � �j de�L S i��l�e r. �Ti��n i'oo-F l.��'f-�t% .�-�r� <br /> WC�.iI�/� l��t�r� �0.�� 1�-Prv�c� I1� x3D <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,���� <br /> l hereby apply for a building permit and[acknowledge that the inforination 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 1 understand this is not a perinit 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�G��firZJ �����.��� DATE: <br /> 31 <br />