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Cs"' `j <br /> 5����b <br /> , f� �� � �, �.� <br /> Total Fee: $ I q�3,� � Date Received: <br /> Entered By: Permit#: ti / _S /�,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) OWNER OR CONTRACTOR� <br /> JOB SITE ADDRESS: l Z�o s f3�Z�lcc 7�s (�o�n�� �Z�ft� Zip; 5 5 3�t,I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑X NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonsh^ates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: lZvv�ri o `5�Fl�uG«v��Y PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 6���-�'cc (�o��s PHONE: 95Z-�i�(5- �ZZ � <br /> CONTACT PERSON: .����'i K rt��iv MOBILE/PAGER: 9 5 Z- Z 3`t- �t o� <br /> MAILING ADDRESS: l 35 A7w���) S i�eZ i S�.CITY: 5 ri�K-c.�'E� ZIP: �S 3 Z�j <br /> STATE LICENSE: # 3C - Zo`f 5£� Z 3 y EXPIRATION DATE: 3(3 � �v 6 <br /> C-�-��.-�z ol-t c�.,"-�iz.o�c zu Z <br /> : Si1Z.c_z-�i�'� � ft s s�c�ri-;c5 PHONE: �i '��-`-(�L`�- `t`{�E� <br /> MAILING ADDRESS: C�3�z �rovtict��-<<•+ ��u r> CITY: w�`(z n'r-� ZIP: �S 3�� <br /> NAME: S►�.V�.�� S 7�u=���'z. REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure �- P��- <br /> Move Home RemodeUAlteration <br /> PROPOSED WORK(describe in detai�: 7N S���-L-�<<�ti ��- �- P��� ffin�� <br /> U��k CL=.YL ���97�tIL� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l 27, SC�J <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 Ciry 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: 3�z`t��.5— <br />