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' ' �,�"""- <br /> �v(30'0�{ <br /> Tota1 Fee: $ a/77, a'� Date Received: ��-��'�-C�� <br /> EnteredBy: ��;'L'�._ Permit#: r�v�7�,��� <br /> CITY OF ORONO - BUILDING PER'VIIT 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 o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: z�(S� �/`�'`JCC� I��I� � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specinl event pennit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �/��/l D C�NN IS�121� I PHONE: (home)��2�9,I� ���� <br /> (work) <br /> MAILING ADDRESS:ZqQ>o CA�o �, 2 D� CITY: p tzp�!p ZIP: <br /> CONTRACTOR: � L. t{�2�.�-1 � 5ot�t5 l NC, PHONE: 7�3-9 7 2-2 ��Co <br /> CONTACT PERSON: DV�IV� N I QSC.�^} MOBILE/PAGER: tpl Z- ?5`�-82 3S <br /> MAILING ADDRESS: P,D, (30X � 33 CITY: �L��{O ZIP: 55 Z�S <br /> STATE LICENSE: # (Z`I � <br /> ARCHITECT/ENGINEER: ��t ����T�TV�� PHONE: <br /> MAILING ADDRESS: 2q0 N�Q� ��" 'VE CITY: MQL'�j ZIP: �5�40� <br /> NAME: �/{12T}�i `�Ot1� f.�'. REGISTRATION # I�I 9� 2 <br /> TYPE OF WORK: New Accessory Structure <br /> Addition [i- Move <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe i�z detain: d E �-f U j� <br /> l�-1'�-� ��M�17�E L ,� S aot� <br /> STORIES: I SQ. FEET OF EACH FLOOR: ����1 Jk'I��(� E(�� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���,��v <br /> I hereby apply for a building permit and I aclmowledge that the information above is compiete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: `� DATE: Z � <br />