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Total Fee: $ /� 7S�/ _ �� Date Received: 7 <br /> Entered By: ,Pi) Y202W S/iv/o Permit#: 14 b83 <br /> jLg <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) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: g,2_S- ��vK,�w/f 12ol-�D ZIP: s& <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 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: S Ld 74-�- t s s E,✓ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: f7an/t`z�voo Otrf0 PHONE: `/' - `/7/- 0 `/ <br /> CONTACT PERSON: y�9T/ f7�OF�'.+��✓ MOBILE/PAGER: &/,Z -903 -3-s--2-6 <br /> MAILING ADDRESS: Vq,2o CITY: flUl•-/6 fifeAl-ZlP: is C/ <br /> STATE LICENSE: # 2e 3l r9�-9d- EXPIRATION DATE: l the 7 <br /> ARCHITECT/ENGINEER: ifS ry CN'C cg-�/rsl vC PHONE: G/.X- 0296 <br /> MAILING ADDRESS: ZoI;L- l NOmW ko u/- CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> mac, <br /> TYPE OF WORK: New X Addition Accessory Structure �. <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): e- <br /> LA <br /> STORIES: 12 SQ.FEET OF EACH FLOOR: 1100 , 21-/00, L 3 v o <br /> NO. OF BEDROOMS: 5J GARAGE STALLS: ATTACHED DETACHED D <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / a0a,000 L <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; t`� G� <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building1 <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: DATE: —' >' <br /> 31 <br />