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Total Fee: $ � =�L 7 - ��� � ' <br /> _ , Date Received: -�o� �-D <br /> � <br /> Entered By: ?j� r'•Y �' i Permit#: _�0�77�. <br /> CTTY OF ORONO - BUILDING PERMIT APPLICATI4N <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int all infors�:ation) <br /> u <br /> THE APPLICANT IS: (cit�cle one) O ?ER 12 COVTRACTOR <br /> JOB SITE ADDItESS: Z� S•��C��( � ZIP: q`� <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 witJr Police Departmerlt and City Council approval <br /> 60 days pr-tor to the event. STzzrttle bzrs se�vice will be required unless applicant demonstrates <br /> sz ff cient on-site parki��g is available. Non pe��mitted ever�ts will not be allotiti�ed. <br /> NAME OF OWNER: �4a� � � ( ) S2� �7'-t� <br /> �'��� �" PHOiVE: home Z-2 <br /> (work) Iz-3 fo3-�$s t� <br /> MAITL,ING ADDRESS: p�S�-�'�+�.��� �_CITY: ZIP: 3R 1 <br /> CONTR.ACTOR: l�F��/ PHONE: �6�-���'s,F�foo 0 <br /> CONTACT PERSON: MOBILE GER:�Zb3-'3oe�-- �loo� <br /> MAILING ADDRESS:� � o-- � _ �r CITY: o�E{LIP: s � <br /> STATE LICENSE: # c3 C ��-4d�S Z EXPIRATION DATE: ?���v <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTR.ATION: # <br /> TYPE OF WORK: New �,_ Addition Accessory Structure x <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descf•ibe in detai�: ��7j�-(�-/f�� � <br /> STORIES: SQ.FEET OF EACH FLOOl�: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATTACHED DETACHED <br /> � . �.,a <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land}: $_ (p�_ QE� = <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 pernlit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICA:�1T'S SIGNAT . DATE: �'-�"�`O� <br /> 31 <br />