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� �l . 5 �C C-�ra.v�n!-{c�tYt�r�c�' � <br /> � ` � � � � ��[o <br /> � � 1�� � y �` � <br /> � Total Fee: $ 39D2• y � Date Received: � D 7 8�9 <br /> Entered By: Permit#: 8`j i a i c y <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �'I �.� Par Z� ZIp; 5����l <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If ye.s,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 /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> � '/ cl Sa " <br /> NAME OF OWNER: ��'f i C� ` Lo��n u [�� l!C'n[-'�/ PHONE: (home) �yy'�6 y�/ <br /> J (work) �!�/�f-0 6// <br /> MAILING ADDRESS: 1�{�{�� � 1(,'�t �IC 1Z b-CITY: ��h b ZIP: 53'��/ <br /> CONTRACTOR: �,-}-('�'G K ��V�-'r1Ey PHONE: �}S'�-�'1�1�1�GY�� <br /> CONTACT PERSON: �� MOBII,E�:9So�-o1.S�-S177U <br /> MAILING ADDRESS: sG �, CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHTTECT/ENGINEER: ��CI�E I D��SD� PHONE: �S'/-aaa- 7�y�" <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New _ C� Addition Accessory Structure <br /> Move Home RemodeUAlteration <br /> PROPOSED WORK(describe in detain: �n,�S�ru Gf ��' n� <57��� S 4 � f`�h-- • <br /> �0 w.lL � C�_e M.n o e 1C(`��h-G <br /> STORIES:�O _ SQ.FEET OF EACH FLOOR: � / a <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTAC ED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $��S,000 <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 an 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: -----^-' DATE: �o? 0 <br /> 31 <br />