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. , - , � � <br /> ;�' r� �� <br /> , �- � ��� � <br /> , <br /> eJ �� ti � ��?�J;' <br /> ti�' �\��G ,� �''` <br /> `'b '',� ` � � '� � <br /> �� � <br /> Total Fee: $ I ��� �� `�' .7 �DateReceived: �, -��-GS' <br /> Entered By: �,�� ��7 i'�IY�Sc1 �'�I� . �:, Pei-nnit#: ��_ ". ,��- A (;�S`�5 �� <br /> � � <br /> CTTY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int all i�zforniation) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: 32'2`�Ia C.�15Ca ��� ZIP: �3�1 <br /> VVill this be a Parade of Homes, Remodelers Showcase Home or other Display�Ho:ne? <br /> ❑ Yes �NO If yes, a special event per•rnit is required with Police Departmer�t and City Council approval <br /> 60 davs prior to the e�ent. Slzzrttle bus servrce will be required z�nless applicant demanstrates <br /> sa ff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: l�-�� �'`�G15A� S��S a� PHONE: (home)�15 2• �/7�/ 7.� <br /> (work) <br /> 1VIA.I�,INGADDRESS: /�3aJ� CITY: ZIP: <br /> CONTRACTOR: �1GiF��LL ��i�i5i ��y/L�0�5 PHOlV'E: `�5 2-��{rd 70� c� <br /> CONTACT PERSON: �,��G,�rt �,sc�y►� MOBILE/PAGER: y5'Z. -Z.Z/ - 7.SG � <br /> MAILING ADDRESS: �2238 �D��l1100� ,Q�U�' CITY: � L��s�,� ZIP: �Sy?�6 <br /> STATE LICENSE: # �7 Z.._- EXPIRATION DATE:�'j�,¢e t{ o,� <br /> ARCHITECT/ENGINEER: j . � PHONE: c1�Z `/7 5��/�� <br /> MAILING ADDRESS: 2 r� CITY: J�=��`�°v�IP: �� r <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accesso Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in detai�: LO�� ��G.L �J��/�/�� �wj. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAR.AGE STALLS: ATTACHED DETACHED <br /> o�o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ �� <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; <br /> that the work wi11 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 pennit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLIC�NT'S SIGNATURE: DATE: �• � �� <br /> 31 <br />