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Total Fee: $ Date Received: O� <br /> Entered By: ffY'1L Permit#: d$O� <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) OWNS R CONTRACTOR <br /> JOB SITE ADDRESS: �SV� L.J(,� '�el'�(9�,✓v� _ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes RNo 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 /> sit ffcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Z2 &tcLtqtecALe,41-aPHONE: (home) `Y73-Op 6P <br /> / (work) SOY-zigs- <br /> MAILING ADDRESS: �Z� (f1C CA"-1A CITY: Goy ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 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 _ ,,' <br /> PROPOSED WORK(describe in detail): lil Da4e- Ay�- L4 1j e,,j <br /> �c d d ..mac r9 f= d ✓� � 4/i,�2r <br /> /� i D✓' `D r.0.ns `8 .tet <br /> STORIES: SQ.FEET OF EACH FLOOR: 13;00 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED �s DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 179;DQ 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.I� <br /> APPLICANT'S SIGNATURE: 'DATE: l�(,?"cjy <br /> 31 <br />