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� . <br /> � 6_ DS �'��-`� <br /> Total Fee: $ bC�. 3� DateReceived: - - � <br /> Entered By: Q �:r�rrr, 7/�3 Permit#: �- � <br /> CITY OF ORONO - BUILDING I�E T APPLICATION <br /> All information must be submitted in full befor plan review will be started. <br /> (please print all infornT tion) <br /> ------------------------------------------------------------------------ ----------------------------------------------- <br /> THE APPLICANT IS: (circle one) O`VNER O CONTRACTOR <br /> JOB SITE ADDRESS: �'�s�'`-;� � SiD� �t . ZIP: SS 3� % <br /> � � <br /> Will this be a Parade of Homes, Remodelers Show�ase ome or other Display Home? <br /> ❑ Yes ,�NO If yes,a special event per�mit is require witl Police Department and Cr.ty Council approval <br /> 60 davs prior to the e•vent. Slzzrttle bzrs servic will be required unless applicant demo��strates <br /> st ff cient orz-srte parkii�g is available. �'Jor�- e��nzitted events wi11 not be allotived. <br /> NAME OF OWNER: �r�i- �3 .��.�� I PHO�TE: (hon�e) �S� � L/7.�2- y�> <br /> � <br /> (work) '� <br /> MA.II�ING ADDRESS: L��'-�'(�� S /�i¢�'��0� �C TY: /�� � ��� �,,r I]P: SS"3S�/ <br /> coNTUACTox: �� - �?���° ���� , ��� ,> ��� Pxo�: �S� y�6 d� �� <br /> CONTACT PERSON: T,�vt ` '�'r�'t y M BILE/PAGER: �,/� - gS o-Odz�i � <br /> MAILING ADDRESS: 3��- ���r= 5 r� CITY: ;;��.� �'�,:= ZIP: �S3Sc <br /> STATE LICENSE: # � t S E I TION D��TE: � - 3/ — U,� <br /> ARCHITECT/ENGINEER: - o T/-�'� e T PHONE: �i�._ ��� -,�S'3 S <br /> MAILING ADDRESS: 3� �� � �/ �v . S CITY: i�j/'�5 ZIP: �SYo g <br /> NA'_VIE: GISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remo el/Alteration � <br /> pROPOSED WORK(descr•ibe in detai�: /�� /� r� �,�� �� c��i �rr ���'�' �9 rt� <br /> � ,� _ f� �. ., ,f -7m , �_ <br /> STORIES: � SQ.FEET OF EACH FLO R: d2�i-' �'' ��✓�n �ZSD � �r� l� <br /> NO. (aF BEDROOMS: � GARAGE STALLS: TTACHED x�.� D TACHED ��� <br /> ESTIMATED CONSTRUCTION VALUATION(e�cclu ing land}: $ �� Cv t� <br /> A���A-D 4�`" �'��'� � %.�n�z � i �� � rr�!"�c.� S, ,D�n� �� Tc� . <br /> I hereby apply for a building pernut and I acknowledge that�he' formation above is complete and accurate; <br /> that the work wi11 be in conformance with the ordinances a d co es of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not ta st without a permit;and that the work will be <br /> in accordance with the approved p1a�_ <br /> A.PPLICAi�1T'S SIGNATURE: - DATE: � - /.,� ` � ,� <br /> � <br /> 31� � <br />