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r� (�,: <br /> �� ._ �-�:c,r�,�;.: :5�(%C ��k..� 1 C�i I ��l�► lo�.i <br /> �C�C�t " C'�C� �I � �'� ��LQ� Y�i'�ct� �i�r <br /> Total Fee: $ (: �' � �''�� Date Received: �—Z2-O9 <br /> Entered By: �� Permit#: a�9-o�a � <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) OWNER O CONTRACTOR� <br /> JOBSITEADDRESS: _ 3$ZS G{-{E�ZR`� A�l�l.lut ZIP: SS3l�- <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO If yes, a special event pe�•nait is reqtiired with Police Departnae�st and City Council¢pproval <br /> 60 days prior to the eve�st. Slzzittle bus service will be reqz�ired unless applicant demonstrates <br /> sc�fficient on-site par�zng is available. Non-permitted events will not be allowed. <br /> NA1V�OF OWNER: MA"f� � aM`( ��'12M/t�l PHONE: (home) �152• 4"11 � "1Z4$ <br /> (work) <br /> MAILINGADDRESS: 3°oZS GI-F�R1ZY ^vt . CITy; oZo�•1� ZIP: SS 364 <br /> CONTRACTOR: �O�'(� gu�LD��JG C_02�, pHONE: �tS?• 4�S ' ZO�l1 <br /> CONTACT PERSON: C�4 R L S M�TN MOBILE/PAGER: <br /> MAI�,ING ADDRESS: 3�3 S ��'Y R D � 10 1 CITY: M T�A ZIP: S534 S <br /> STATELICENSE: # Z.9$S EXPIRATIONDATE: r��.Rc�.} ZDo9 <br /> ARCHITECT/ENGINEER: S^*'�� hS C..�c�►-t"�1}L'to(Z. PHONE: <br /> MAILING ADDRESS: CITI': ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition X Accessory Structure <br /> Move Home RemodeUAlteration(i.e.: Siding,Windows) <br /> '�"`9��v eu��th rt�overaaera��r2�rt>require 1tICWD Reti�ie�M•and F'errrrit.' <br /> PROPOSED WORK(describe in detain: A pt��'f� o�•l `to �z�S-(-��1!e S3u��.D+—�(e <br /> Aop 3 c�¢. -rvc�G vN11�L G�2a�(o+ wi-rH 13EvsZoor-1S A.go� <br /> 1 Srt-o ft Y l.•l.�vEt 1 I I g <br /> �� STORIES: �"'���o�'r SQ.FEETOFEACHFLOOR: uPP� L,av�t. ZO60 C11 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> � ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 31 S 000 " <br /> �� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> (1! that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> q� Code;that I understand this is not a pernut and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� DATE: I ' ZO ' D� <br /> C � a • S rt �rH Tt� <br /> 31 <br />