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Total Fee: $ Date Received: T's'�5 <br /> Entered By: Permit#: �D�'S 7j� <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 O CONTRACTOR <br /> JOB SITE avD�SS: _��� �S�1Z-I��- l--l.l C.� Z� ZIP: �5�3 1/ <br /> Will this be P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes,a special event permit is reyuired with Police Departmenl and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffzcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �l_ )+'J,7Q ��L-`��/�'�A^i PHONE: (home)CZSZ— �73—ZZ�Z <br /> (work) <br /> MAILING ADDRESS:��S,S�1ZJ�� �l LC_��ITY: 0���O ZIP: • ' � <br /> CONTRACTOR: ���AS �1! tA h��-- �1�-�, PHONE: 7�'�2—�'c�(�--�3 0� <br /> CONTACT PERSON: �il/� 2-�✓� MOBILE/PAGER: �/Z-3�3--3��U <br /> MAILINGADDRESS: 3� N-��^���Ic��Jk1� ig�tl�OCITY: �--S�t��Sfc��ZIP: S"53�� <br /> STATE LICENSE: # �� EXPIRATION DATE: 1 O� <br /> � <br /> ARCHITECT/ENGINEER: �� ����b� PHONE: 6/ Z 332'�UOU� <br /> MAILING DDRESS: J^3� iJ � 3�4 S�_ CITY: �-S ZIP: ��� <br /> NAME: � y'l�S �r'c.-tis U'"��C�....� REGISTRATION: # � �� � <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration �'� <br /> PROPOSED WORK(describe in detain: ,� �K�!T c}•JS /�^-'� !�-.�'T'�L.l C�V� <br /> (�.�-�-�b �-�-(�,1� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �/'�J � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ T 7`� �a � <br /> I hereby apply far a building permit cknowledge that the information above is complete and accurate; <br /> that the work will be in confo nce with th rdinances and codes of the City and with the State Building <br /> Code;that I understand this is ot a permit and ork is not to star t a permit;and that the work will be <br /> in accordance with the appro ed plan. <br /> APPLICANT'S SIGNAT . DATE: � � � � <br /> 31 <br /> �e��, � ,ss�.� � o,�=��� ���'�`� ��. <br /> a� <br />