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c��(.�(Y� ��.,a.,Q, l e���-oS <br /> ,� � p „ �./�," <br /> (���. <br /> ��P� <br /> �`�1� o� <br /> GJ� Y � Total Fee: $ � q3�• � � DateReceived: 9=?7—OS� <br /> Entered By: ,Q/9� Permit#: �IO ja?3� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int all infornzation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif�cle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: �'1�S �Ct�'�Q�'�� � ZIP: �3S/ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �10 I,fyes, n special event perrnit is regur�r•ed tivith Police Departnaent and City Counci!approval <br /> � � 60 days pr•io��to dhe event. Sharttle bz�s servrce ivill be regatir•ed irr7less applicant demonstrates <br /> sufficient on-site parking is availabde. iVorz-perrnitted events tivil/not be allowed. <br /> NAMEOFOWNER:�IU.IAN�� I�'1� N���-�1��'�N PHONE: (home)Q� a �76 7930 <br /> ^� (work) 6�z -BG7-88G`7 <br /> MAILINGADDRESS: `T,3S_S ,�trPP4�/A �� CITY: �(�� ZIP: SY'3�-`i <br /> CONTRACTOR: ��s 1£,(L. �J v i�.D�"�G �-'S��.�-S PHONE:�Q�-a3g ��! Z <br /> CONTACT PERSON: RoN FR�57 MOBILE/PAGER � <br /> MAILING ADDRESS: 2z2 3� A.��. S� CITY: �.�sr� ��u+��E ZIP: S�3cS� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �.10141J �l�A��2.- I�ST�,CZ-- PHONE: $d� 23S ���Z <br /> MAILINGADDRESS: e2d2� c�'P /-��k� S-o CITY:L�sTEa.eRaiR�� ZIP: s�.�-��/ <br /> NAME: -� o�+�, 17 t C.R Av��Z REGISTRATION: # I�Z!o <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/A.l�eration � <br /> PROPOSED WORK(describe in detai�: �o� 1�� <br /> STORI�+S:�RwND��-oF-t SQ.FE�+7['OF EACH FLOOf2: ��9 c� C�zodrv,� � aY�1(� GoF J, <br /> NO. OF BEDROOMS: � GAI2AGE STALLS: ATTAC�IEI)� DETACHEI)�/� <br /> ES'I'IIVIAT�D CONSTRUCTION VALUATION(excluding land): � � Z�, v�� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in confonnance with the or 'nances and codes of the City and with the State Building <br /> Code;that I understand this is not a perm' d r� is t art without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: I)ATE: 1 p� / b� <br /> 31 <br />