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�„�, �v-�z -,o-�" <br /> � Total Fee: $ �SoB. 9 DateReceived: ��'r-�� <br /> Entered By: Permit#: �40 9a�S <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 /> -- ---.�. <br /> THE APPLICANT IS: (circle one)WNER R CONTRACTOR <br /> JOB siTE AnD�ss: S y� ���rT �-vt- �.t1��� zir: SS�/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �TO Ifyes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Rr�6s�w T• ��5�� PHONE: (home) `���y�a��'��� <br /> (work)`i_52-1-[?a-2vq� <br /> MAILING ADDRESS: S�� CITY: ZIP: <br /> CONTRACTOR: ��i'-.�. B�1 iAi n1 t;� Cjv�'-�vP-Afi G•'`� PHONE: �Z�`(�`'�q, tt►11 <br /> CONTACT PERSON: �0 3 �j-'q�•q-�/ MOBILE/PAGER: lvl2-���� `Z��� <br /> ME�IL,INriADDRESs: 3i�{�3:5 'C.Oot�.ii';�' I.2��lC�� CITY: /�(TldA1SC!?�,`1�-r4ZlP: 3r <br /> STATELICENSE: # Z`�$� EXPIRATIONDATE: 3�t��, <br /> ARCHITECT/ENGINEER: -�oHr,� Bu�l�'� PHONE: `�S�-��� �"97 <br /> MAILING ADDRESS: ��irn� /�-s ��7X'�-�=rW'� CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: U��tt����-��L-�+�J {����-H /}f3-a„�� <br /> �DO rn vYJ <br /> STORIES: �L SQ.FEET OF EACH FLOOR: `�`���s� ����/4�� �°�-1�I <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED / DE ACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �.��C�c4 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be 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 that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � • DATE: ��-�O� <br /> 31 <br />