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, <br /> * 62 k.) <br /> Total Fee: $ ' C • 53 Date Received: I 1 <br /> Entered By: ZJ7 Permit#: '/ l <br /> Li'i'►7 /Z/tif/t`J <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 CONTRACTOR <br /> JOB SITE ADDRESS: b`LS l./(L ,CU) 166-t) D2t c&G ZIP: - :)c-4 <br /> Will this bea P ade of Homes,Remodelers Showcase Home or other Display Home? <br /> ElYes 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: ittt C f (4 5e(/-t2--. PHONE: (home) 973- 1-6,3 f <br /> �S WI t (work)�,Y. 3� .1-4,1'2-- <br /> MAILING <br /> �y <br /> MAILING ADDRESS: !.(� CITY:t24/o ZIP: S S;5-,(-- <br /> CONTRACTOR: <br /> � <br /> CONTRACTOR: d&Li,J 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 A:yi:•r,.._ 3„ „ .,/;- f,vjS,y <br /> PROPOSED WORK(describe in detail): '$ ( �'-4e4 -) ci>4�i Vc c1 i4 „�� <br /> C <br /> GOla 4 I-i.✓C7 /© cc (77 %c4 P .€9� / C),f.f fit/ C4/,�,Vrs 7 457T4/ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1`° ,.0E'U <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 pl . <br /> i4--- . OAPPLICANTS SIGNATURE: ATE: //Y <br /> 31 <br />