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Total Fee: $ �� 9. 4 Date Received: /D- <br /> Entered By: ( /65 Permit#: AOS/o?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) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: o i,v; L s �Yc tf t ZIP: Ss3 3 I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> (1 Yes l'No If ves, 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: P 1:1/ 1 14,, PHONE: (home) l?-7I- <br /> (work) i'f 1 t- y d <br /> MAILING ADDRESS: .(, o liv L f� ,- 1 /Id CITY: ovi4,0 ZIP: 4---C3 3 <br /> CONTRACTOR: PHONE: /..S2-`f71- fL2-o <br /> CONTACT PERSON: P d,. 15, Iz MOBILE/PAGER: 1i, 1-rfo -t 16/ _. <br /> MAILING ADDRESS: sl,,,,{ CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 131(vice ko..130" r z •t PHONE: 6'r -3.3 24606 <br /> MAILING ADDRESS: Sac �l. 3=LsT, 4*--r36 CITY: 14/ E7.,.1 ZIP: rS'-iol <br /> NAME: 6 r,d,c 1cfrt ,1-LL REGISTRATION: #14S/¢_ 30 0 3 2_ 3 3P <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): p 1,.,f f ,,rte p y ,opv.,,,..P L 1!1/7120L. <br /> �s✓u, t 6AAA6e-tows /,.at <br /> STORIES: D SQ.FEET OF EACH FLOOR: M.11J"'~ry�- - S <br /> � ✓ 1W <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATTACHED Z DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ °�� <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: /0- y <br /> 31 <br />