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� Surv�y <br /> , �t aan5 <br /> Total Fee: $ Date Received: 5-�3- b 5 <br /> Entered By: Permit#: 14 0 '�� 3� <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�zform�ation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> -- --� <br /> THE APPLICANT IS: (circle one) OWItiER�QR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: ���� �o't�-,�'e�rv��� �'� ZIP: ,j-S� � � <br /> Will this be arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event perrnit is requir•ed with Police Depar•tment and City Council approval <br /> 60 davs prror to the eveni. STTzrttle bus service will be required unless applicant demo�zsirates <br /> sa ff cierzt o�z-site par•krr�g is available. Non permit[ed events will not be allotived. <br /> NAME OF OWNER: i3n�.cC + (',�rlo�, (�'�C/�o�1,,�.Q I� pHONE: (honle) `7�a-y 7/ �S-�j" <br /> �e (work) 7Sa -Y7�-v�o7 <br /> MAI�INGADDRESS: /�{�� ���'�L �� /� CITY: �G�cu(z� ZIP: 53,3 y( <br /> �7ye?_ <br /> CONTRACTOR: fi�rl���� C����sh'�zC-/���� PHONE: � s`/5- �y„z� <br /> CONTACTPERSON: �r�'�rc K��l��� MOBILE�1 ��R: �,/�- �t'/ . ��',�y� <br /> MAILINGADDRESS: I(oo2 t�`L�w-�<<1 Y��� CITY: ZIP: S�S <br /> STATE LICENSE: # "7 S`l 1 EXPIRATION DATE: 3/�_3;�c� ta <br /> �qi��c c� <br /> ARCHITECT/ENGINEER: i�au� �z��3�%� s��(c.,���:/ PHONE: (� �-� 7�-��Z�o <br /> MAILINGADDRESS: �U�� F �y-" S� C 55� : /�7/�ls ZIP: s`5 G <br /> NAME: /�G�� ,Gt����s<<<� REGISTRATION: # �;/,� <br /> TYPE OF WORK: New Addition k� Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: �i�r��re�' ��� � l'/c�e P��i-y ���`T �� �.'� <br /> l-- J--�— <br /> `,^r��fruLr,�,; <br /> / <br /> STORIES: /�z- SQ.FEET OF EACH FLOOl�: �/�'�' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ 5,Oo� <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 pernut;and that the work will be <br /> in accordance with the approved plan. <br /> AI'PLICANT'S SIGNATURE: , � /,��i ���� DATE: S�✓ d.� <br /> 31 <br />