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f <br /> Total Fee: $ 4o.:7-3 Date Received: <br /> Entered By: Permit#: 'goflt <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: 1 o `3 S *TV Not Gu on ZIP: S-S-3 Z'3 <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 Council approval <br /> 60 days prior to the event. Shuttle bur 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: �%� `� PHONE: (home) f`�� "— 7/ 7q f <br /> fw-ork) _7ir3 - 7-y�-s9vJ <br /> MAILING ADDRESS: ' X 3 CITY: ►A,S L9/ ZH': sJ S&,4- j91cjt't4S ORA � <br /> CONTRACTOR: V SGV C:C ('�' 1 46 vS PHONE•_3 10 <br /> CONTACT PERSON: I.t MOBILE/PAG R: 3 7-c-?eO - I 17- <br /> MAILING ADDRESS: )5-01? Qt 's%eti— CITY: W q t� Ye ZIP: .S-b 303 <br /> STATE LICENSE: # '3 d 10 EXPIRATION DATE: .--2_)_1. 5' <br /> ARCHITECT/ENGINEER: N14 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accesso Structure <br /> Move Home Remodel/Alteration <br /> PROPOSEDICK(d sgribe in detail): 6'k P13'✓� O W 11'I E e£ L LA f Z h L:: X t5T.L 11 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / 7, © 0 <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: I� DATE: <br /> 31 <br />