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� ���. a3 � <br /> Total Fee: $ Date Received: q`/6'D � <br /> Entered By: Permit#: �k(�19 5� <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) �NER OR CONTRACTO -�}c-���/C !�S' <br /> � <br /> JOB SITE ADDRESS: � � 0� �S'uaar (/1/c����� v� zir: S.S35� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> ,� {� �S�- <br /> NAME OF OWNER `JcIG u�l( h� !��� ' B& /� S PHONE: (home) �{'15- OOb� <br /> ' (work) `ts.� -7'f� - SIX <br /> MAILING ADDRESS: 1 b 8' S� ur �/ccds br: CITY: Lc�1 p L2 /�E ZIP: $�5 3S"� <br /> CONTRACTOR: eti.rx.�✓"� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration X Land Alteration <br /> (IN ��-ow <br /> PROPOSED WORK describe in detai�: �-�i h I� 5�1 Y`CSf af �ase r'he✓� � , 6Q� �ki f�-��rr� <br /> �2�i�a , �.�a{-� �-o�� m , be�iro��� , -Fa;rn r lv roor� <br /> , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �7 p0 0 a D�� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ' <br /> � <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pemut and work is no�start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> �. <br /> . <br /> APPLICANT'S SIGNATURE: DATE: �� ' <<.� - C� <br />