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, . <br /> � ' l�',05 <br /> � <br /> Total Fee: $ a53��� Date Received: �a -0�8"D� <br /> Entered By: Permit#: /�p83a�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 /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: S�S �j� �Rou�N'�'�of}p ZIP: ��v�3� ( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ 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: ������Qg� ��-�,�pi� PHONE: (home) �Z-' 7Z�Z77,(� <br /> (work) <br /> MAILING ADDRESS: ,�7�0 ��9+�30�!?�Bgl� CITY: .ivN�'Tiq► IP: �3 6 <br /> G1.4t.c� <br /> CONTRACTOR: �;,�.T�� Rs�c. �a� . PHONE: �5z -yy�- �yi�8 <br /> CONTACT PERSON: � }�- ,ePt�`� MOBILE/PAGER: (fl/2-8/Z-�/95� <br /> MAILINGADDRESS: �g3)Z )'Y�.�7eYe�c�F�l.d4 CITY: Gt/A-Yz�y- ZIP: �g/ <br /> STATE LICENSE: # ��$o EXPIRATION DATE: �-31 -65 <br /> ARCHITECT/ENGINEER: � � SS�G . PHONE: �j�z-y1.3—lZ�� <br /> MAILING ADDRESS: ,�/ CITY:�-p�/�q�/��y ZIP: 5"��9� <br /> NAME: u�,r�f/-h,/►�.- REGISTRATION: # ����-,T(� <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: /q-0�� �- '� iJ R Z... - iI'��1�, <br /> � a �� R o,�a.�H - o a� �°K <br /> STORIES: �' SQ.FEET OF EACH FLOOR: �rf X. �v�-C�`� <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �i8��- `� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the worlc 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: DATE: �2 E�� <br /> 31 <br /> I v <br />