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/12p ,./// <br /> • <br /> S fin, <br /> c- <br /> , fr v <br /> Total Fee: $ 2/, L ' —7-37 �� 4) -,,4 '„ )ate Received: 4o �'U <br /> Entered By: 7 '���o Permit#: 1 C'./S /0 y <br /> 1 /b(-1 <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) OWNE <br /> NE : OR CONTRACTOR <br /> JOB SITE ADDRESS: L.)C,i-k 1 cA KC SA-re_eA ZIP: 3.53S <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 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: ke,I;r,• f i-c L ecAr ic k PHONE: (home)6.12--8.3-2-ag 7 <br /> (work) <br /> MAILING ADDRESS: 3% ham— 5-t CITY: `41"*"a ZIP: <br /> CONTRACTOR: SA6rclAnd Ves is r, Q1/4AA, LW PHONE: ci S ..Li 7 t-Osiri <br /> CONTACT PERSON: S v tr C-h ..Fse, MOBILE/PAGER: G I?.:I-6 7- W1& <br /> MAILING ADDRESS: I- ZQ S ko e+,Ac 0 1,-\\I e CITY: Sp:In( Pc.,L. ZIP: s5 3 S-- <br /> STATE LICENSE: # O 3?Q S y 2, EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Re-, + LJ t III /Qe is i. Cic.J flc S PHONE: `l SL- SS -)e y 0 <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): ee.► .•(_-too �F p4 \\aM, V <br /> A CuK'K.-.y ,...:\1 <br /> STORIES: I SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '+35t b Q) <br /> I hereby apply for a building permit and I a I owledge that the information above is complete and accurate; <br /> that the work will be in conformance wit 4 e ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not ape.; , d work is not to start without a permit;and that the work will be <br /> in accordance with the approved pl. i <br /> Ii►11 <br /> APPLICANT'S SIGNAT ' i,� DATE: <br /> vf 31 <br />