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r C u.e.Q.e.�Q �-I�-.oS/ <br /> Total Fee: $ /3g�', d.3 Date Received: �-� �'�S� <br /> Entered By: �- Permit#: /� C� ��f a- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all infornzation) <br /> -----------------------------------------------------------------------r�==____-==-�---t---------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO� <br /> �—--� <br /> JOB SITE ADDRESS: �'� �'� �"' e��i?,� �K� i� � l�'� ,�� i '�I� . ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department ancl City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: �.�'��iy�� U L,n.,,���� ���'..,-.'< L PHONE: (home) :�;_� -�/��' �� �-,,, �. <br /> (work) <br /> MAILING ADDRESS: �� ����� i"'������i�js /�D-ti�r /�n CITY: c=�_-�' �: ,v�-, ZIP: <br /> CONTRACTOR: �%� ��2 i�� � � �r --��� = PHONE: �� � � ����y�- ��y��"" <br /> CONTACT PERSON: ��-i�%�y� G���.-%c,�:� MOBILE/PAGER: ��/1- - l�'7�-77,3� <br /> MAILING ADDRESS: ?�;/l >�� /r �v� CITY: ��l,, ,:� ; r,��1-.�� ZIP: � �-a y����' <br /> STATE LICENSE: # ��j' C - .� ,5�>I <br /> � <�7`/�'c�C�-<<�'if[ /��e si���� ,G2[< <br /> ARCHIT�CT/E�tGIIVE�ER• �T� � y C,� ���-� �'��� � PHONE: ��� �' �� ���" �' -,5-s' 6 r <br /> MAILING ADDRESS: �!C,;��� :r. << < � �� �--��-. CITY: c"t/�-����t�� �rL ZIP: 5 S�l,� <br /> NAME: 7-� o� C��c-��! . REGISTRATION# '�ti � y�y�y <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration �;�� Land Alteration <br /> PROPOSED WORK(describe in detai�: � i �` �i�,c,v ; L ,�� �z ��l' y -�? T-� <br /> /'<�'���� c� �� � <br /> STORIES: <�- SQ. FEET OF EACH FLOOR: i ��' �' <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATT. !��: DET. � <br /> �,. _ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, � L' �' <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. , <br /> , , <br /> �;� c � <br /> - `r�� i,�< < c�� T �� <br /> , / ' ,,; <br /> APPLICANT'S SIGNATURE: -'�� ��i (� ' --- DATE: .� / �'� <br /> 1'� c� /�� s <br />