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� Q <br /> '2 ILP p <br /> Total Fee: $ 2 S�' -7L Date Received: Aa(2,308 <br /> Entered By: Permit#: Ie 1 -7 / (�r, <br /> (0//,0/01— <br /> CITY <br /> o//v/O1CITY 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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: '26-6 f 0 N�,4 AVE ZIP: <br /> Will this be"Pr rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Z No If yes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted d. <br /> ermitted events will not be allowed <br /> NAMEOF OWNER: NW' ^ V GlU 6 V� PHONE: (home) SZ 71- �'-f <br /> (work) --� <br /> MAILING ADDRESS: FLIT-114,i A)e- CITY: dmf ZIP: S53 <br /> CONTRACTOR: i 1110O n r PHONE: (9523 yZ_ SSG <br /> CONTACT PERSON: Ff4,a m uvllr �l- MO ILE/PAGER: (95Z) LqZ- Zlo$ 3 <br /> MAILING ADDRESS: Zl q E Fran+a a St<,kl CITY: V\)oi ton'A_ ZIP: SS3 7 <br /> STATE LICENSE: # STP C-1 SS.7 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 rr <br /> PROPlO+SE D WORK(describe in detail):C2,� w A �'1( 1,o <br /> `Ot Sl1oG k r 0[ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED, <br /> -o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land). <br /> I hereby apply for a building permit and I acknowledge that the information 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 wor is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: S DS <br /> 31 <br />