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w <br /> Lj� �1 C7 <br /> Total Fee: $ t�C `�13 y ✓ ate Received. <br /> Entered By: G1 c�1 /oS - 2-4D �ryyn�� <br /> Pel <br /> Entered 05 <br /> CIT OF ORONO - BUILDING ERMIT 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: —(-c7ircle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: / S (,t1 f''C('S ������ZIP: 5��3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes N 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 /> k'C 66f Cis A /J 3 a-- <br /> NAME OF OWNER: y PHONE: (home) Sa '���— <br /> o <br /> MAILING ADDRESS: CITY: bRo7t& ZIP: _57- <br /> CONTRACTOR: A401411 )t- s m PHONE:�-fs-� c! y'3s� <br /> CONTACT PERSON: 1/ MOBILE/PAGER: g'sy 9�aG <br /> MAILING ADDRESS: 6 Gqr,�- �' CITY:�1-49t4sPq.1-W ZIP-'fir y�j 6 <br /> STATE LICENSE: # EXPIRATION DATE: /D(, <br /> ARCHITECT/ENGINEER: 4 d PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition IN'rl, Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 4 ati I CfA r IZ qjl 1-6 <br /> (,CqU e ©s- <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: -390 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9-5, 4©d <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: DATE: <br /> jLW <br /> 31 <br />