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• c)(,2 <br /> Total Fee., $ � n Date Received: <f 2 76' <br /> Entered By: f�./i �,,,.�/r Permit#: of 5Yj <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) WNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 10) CL)i oc.A r. ZIP: 3 5-3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes cgiNo 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: 1Y\ r 1Z I.J ic‘ i L c;c. ''dIccncrONE: (homeris). - j 3.. 1 <br /> (work)9 S -y--3 -.5%1;1 Li <br /> MAILING ADDRESS: I I bl w. I1tc„1.) it 0:- CITY: O ZIP: SS 3 91 <br /> CONTRACTOR: o PHONE: <br /> CONTACT PERSON: (Ykk ,-Ki MOBILE/PAGER: <br /> MAILING ADDRESS: 3 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 X <br /> PROPOSED WORK(describe in detail): ( si' ( ' a s P)o Tti 4 h GI U p`1 c1-re <br /> Cu I� v c 4 c c; b (21_,4'TI_ (An t1 Cc., L; "r; A C i o .N T„ <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: 2 o c 0 <br /> NO. OF BEDROOMS: H GARAGE STALLS: ATTACHED '7, DETACHED G <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 15, a <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. . m� <br /> APPLICANT'S SIGNAT ' : L _ DATE: S71a tt /üç <br /> 31 <br />