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e <br /> r <br /> Total Fee: $ ED . 1-7 Date Received: <br /> Entered By: 2-0 yds C/A Permit#: A 6 <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 /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: /j J 7-b l,)tc: lk L ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ENO 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 events will not be allowed. <br /> NAME OF OWNER: C!; &l.;i S G— PHONE: (home) <br /> ( � (work) 12 <br /> MAILING ADDRESS: S`? k0W� 1��-e CITY: ZIP: <br /> CONTRACTOR: &Q LCC. S 1 aU 6 G C PHONE: f 12— <br /> CONTACT <br /> zCONTACT PERSON: S *.4*-,_e MOBILE/PAGER: !z 3 S <br /> MAILING ADDRESS: 3"7 r.rove fi"ivzp CITY: 4,4 s ZIP: SKv� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: til A 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 detail): $'c i (a it 70 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l r � <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 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: o,- <br /> 31 <br />