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� �. . <br /> ,� I�U � Total Fee: S � � Date Received: 10--2�7-C.;�`� <br /> ��' Entered Ey: '►'�- rer�nit#• �/} c��R' 13 I <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in futl before plan review wilt be started. <br /> (please print a[l information) <br /> __ � <br /> THE APPLICANT IS: (circle one) OWNER OR RACTO�R <br /> �__--..� <br /> JOB SITE ADDRESS: �`�I� Cr� . Zc� . CQ ZIP: 553 5(v-`�G��� <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 approva! <br /> 60 days priar to the event. Shuttle bus service will be required unless applicantdemonstrates <br /> su�cient on-site parking is available. Non permitted events wil!not be allowed. <br /> NAMEOFOWNER: I�iuS; '=Jcv i,lio �c��Sz�tk, PHONE: (home) �5.�- y7(n-�3�� <br /> (work) '7�2�- [���-/SSy <br /> MAILING ADDRESS: ?��15 (',� �.c;l (o CITY: C:�,-�n�; ZIP: 5 S 35C'c ��5%' <br /> CONTRACTOR: ��1�11 �er��c:e.� PHONE: 7(c3- 7X 8`J�{/J <br /> CONTACT PERSON: ✓Y1 e.i I;s��� ,Johh.s�-, 'IOB`�1�/PAGER: G,I-� - �s�s 5-3/�O <br /> MAILING ADDRESS: i�3i� 3'�'-'� /��- iu C CITY: �lc;�.,Ls�� ke��d���ZIP: 3��l�z <br /> STATE LICENSE: # ��(�`� EXPIItATION DATE: .�� �,;i�c;�; <br /> ARCHITECT/ENGINEER: ,'��//-? PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodellAlteration X i=�r� �F;t�,,����,�->-. <br /> PROPOSEDWORK(describeindetain: r�,rtc� fire ��;fa�i�:=a. �'e.stc�e., �e�r�lat�.- C�/rn�5 <br /> i/�S�ilatl�vt ir � IV���vvtS,� ��ini in�✓�c',r _ Fe,���_r' j%�Foltt��- <br /> STORIES:�_ SQ.FEET OF EACH FLOOR: �:5 C? <br /> NO.OF BEDROOMS: .3 GARAGE STALLS: ATTACHED�_ DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding tand): $ ����3C)(� � �— <br /> I hereby apply for a building permit and I acknowledge that the informarion 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: L DATE: /L�-02 7-b� <br /> 31 <br />