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�1 <br /> �\ �., <br /> •� <br /> V <br /> � ��:� / <br /> , �'�� /� <br /> 'I <br /> ��(L� <br /> �����. <br /> � , I., .% I ;.��.. <br /> Total Fee: $ �, � j yl` � Date Received: I O-I 2'C-�-'� <br /> Entered By: ,�'}�V Permit#: �(1 l��1��� <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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: _�p�� ec�5�� �i��- ��[� ziP: 5 5 3 `� ► <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS � NO Ifyes, a special event perrnit is reqa�ired wlth Police Depa�7ment and City Cozrncil approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstr-ates <br /> sufficient on-site parkir�g is available. Non-permitted events will not be allowed. <br /> NA�'IEOFOWNER: bf�t���-� A�l� `l���t\t� PHONE: (home)�S�-�171- ��75 <br /> �'.d 2.\ (wark)lv�I'��3`-r-!rJ'�l St3 <br /> MAILING ADDRESS: 2,J`�-1t: �,�i�1t,�C>L�Q,� t�li�CITY: �,�,(tyZc�'}c� ZIP: �'S3� ) <br /> CONTRACTOR: �� m�f`nz ��mw �1 c�c.,SrPuch c� PHONE: �� .i--97�-3�3 <br /> �CONTACTPERSON: '��,,,� ��,i.�.�.�Q; M�� MOBILE/PAGER: �t�3 ���4 -23(�� <br /> MAILING ADDRESS: �V3� t:� ?c;l I 7 ��� CITY: f�rz���,-, ZIP: j�:3�,'� <br /> STATELICENSE: # �}�Sy EXPIRATIONDATE: <br /> ARCHITECT/ENGINEER: D�5J q•���a;y'-,�S PHONE: �5� - ,��3 � --7Gjc�� <br /> MAILING ADDRESS: ���.Ly �.�.�,`S'F Q,� CITY: (C�c.mSi��1� ZIP: �S',��7 <br /> NAME: (� ,�-� �;����� REGISTRATION: # <br /> TYPE OF WORK: New ✓�� Addition Accessory Structure <br /> Move Home Re�nodeUAlteration <br /> PROPOSED WORK(describe in detai�: ���,r �� : ,� -�u:; .�,� r, h �;�,� ��.�,� �.��� <br /> �.�_=��� <br /> S'TORIES: 2 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � CARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ g�� ��'`��-' <br /> [hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that tl�c work will bc 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 tl�at the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: t�.1�.^e�.����—�- DATE: h C ��-� (;� <br /> 3l <br />