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Total Fee: $ Date Received: 5 / / —7/6'c <br /> Entered By: j 71 <br /> /�/� Permit#: l7 � s /3 <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 0' CONTRACTOR <br /> JOB SITE ADDRESS: 2 SS" 1✓�"�'d�i s v t ZIP: 575—J S( <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes i7.4 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:.a 1 � H k, I t <br /> �/ PHONE: (home)95-2 2 7eCZ <br /> (work) <br /> MAILING ADDRESS: 2 ea 01 h 4 v/1, /ter. CITY: C't-av,7 ZIP: SSW / <br /> CONTRACTOR: A.2 rd i At•. `d t11 i5 .1 r. PHONE: 5'.5-2-2 o''- <br /> CONTACT PERSO r1ry f , MOBILE/PAGER: ,,,4 <br /> MAILING ADDRESS: ' z< H�ntyr lei ll i.v;y CITY:.P+. 4 ; ZIP: 5S'79r <br /> STATE LICENSE: # 2 v cl? )/6 EXPIRATION DATE: 3- d( <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): e A le h e dl c Via:,e <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / fP <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: ,?:e.% DATE: /� <br /> 31 <br />