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"' ��� <br /> .� <br /> Tota!Fee: $ ��410,�� � DateReceived: 3-I�- Og <br /> ERtered By: �_ Permit#: P//�Zfl <br /> CITY OF ORONO - BUILDING PERMIT APPLICATI�N <br /> Ail information must be submitted in ful� before plan review will be started. <br /> (please print a!!information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB 5ITE ADDRESS: 2�� 'J� C�►-�,CD t'ot`(a'E- . ZIP: <br /> Wil1 this be a arade of Hornes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special evenr permi�is required with Police Departmen!and City Council approval <br /> 60 days prior io[he event. Shut!!e bus service wi!!be required unless applican!demanslrates <br /> su�cien�on-site parking is available. Non pern:itled events wil!rrot be allowed. <br /> IVAME OF OWNER: � � , ��;r�{. , PHONE: (home) 2-�7l—�7Z�j' <br /> (work) `1�Z- Y7(r-/O�Z <br /> MAILING ADDRE5S: 2�`�5 C�s c T? Qd,.CITY: �c-�r,�., ZIP: <br /> CON1'RACI'OR: �v t�c���e �k �e'i ��� PHONE: 4�51-��c'C� -�yCC <br /> CQNTACT PERSON: �-��t}�k„ �R e�-'r-e�,r _ MOBILEIPAGER: CptZ 41�T�1 U -ti <br /> MAILING ADDRESS: � �,�;�h� Z.�f� S�- CITY: � ZIP: � o <br /> STATE LICENSE: # p�C-2.:o 3�b3�3 — EXPIRATION DATE: � 3� C�?, <br /> ARCHITECT/E3�IGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIp; <br /> NAME: RE �TR.ATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.:Siding,Windows} � <br /> :`�1s�J�ea1•lh mvi�etnenF ntut��•eq�rire���ICY�'D Rev:c��a�und 1'c��-u1it�` <br /> PROPOSED WORK(describe in detail}: ���i;��L °� � R (�4ce u:;vrd�c�s <br /> u%� � ac� C '� ,� ,. � � � S �4t��-�r, <br /> ST�RIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTTMATED CONSTRUCTION VALUATION(excluding land): S �9i 5�� ^ <br /> --� <br /> i hereby apply for a bui fding permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and c ofthe City and with the State Bu�ldin� <br /> Code;that I understand this is not a permi d ork is not rt wit ut a permit;and that Che work wil]be <br /> in accardance ivith the approved plan. � <br /> APPLICANT'S SIGNATURE: D��; �r-�/`�j <br /> 31 <br /> Z'd LOt�E-08b-659 aa}ne� �{aeW e9���� 80 �6 a�W <br />