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�A i <br /> ' ` C � <br /> r�3��1 <br /> Total Fee: $ a..5, /4�` �� DateReceived: ��'S-D � <br /> Entered By: �9,�i Permit#: A /lS�D <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 /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR ' <br /> JOB SITE ADDRESS: /S c�U l�r'd��'S 1'v�n� l�d - ZIP: SS 3�3 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ��10 If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonsirates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �r��-� ������c�- PHONE: (home) <br /> (work) �lm 3-5�4 -`fto76 <br /> MAILINGADDRESS: 9Z� S�,?��y ��r.� ��2`,�' CITY• �ayz.3"�a, M,JZIP: S�s 3��/ <br /> ' ��r <br /> CONTRACTOR: C�l a��.e S �d d l.�m .�n PHONE: 4�I L-3��?-/7 3`� <br /> CONTACT PERSON: - /rn L� /�Sv� MOBILE/PAGER: (oj2�o`l o-- �3'lv <br /> MAILING ADDRESS: �7S` /yL�rkz/� e��, $'e y�ES�ITY: 7'!1 inn.rr ap�/iS ZIP: S3�Fo5 <br /> STATE LICENSE: # �vi 3 S5F7'-� EXPIRATION DATE: 3����2-r�p� <br /> ARCHITECT/ENGINEER: R�v°��-�-c� �= I��br��i��d PHONE: Io�L"�3f�-(Kvc� <br /> MAILINGADDTtESS: �75'- rh3�/kQ c��. S�2s�� CITY: m,,,►�,�./a� �� ZIP: SS-� ps <br /> NAME: 1�m Rau�,�h�r REGISTRATION: # --^�—� N�!} <br /> TYPE OF WORK: New Home �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) <br /> ,'�a , . . , t}c'r'F7<�??l i1;Lt�1' }`a't71ir'a a' r�1�,��� �;:' � �,Q� ;�. ;"r�r<i e <br /> PROPOSED WORK(describe in detai�: (��,.,5}�-u� �7Z �n �� d �h.z.u.� S�n��e �w��T� <br /> }^e s�c�2_n ca <br /> L/t-- C�� � M�L.— (asqo� v L. ��40 <br /> STORIES: a SQ.FEET OF EACH FLOOR: B«n�� 2,�,� - `��,' <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED� DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_�.��"T�I J� vc� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 S � <br /> 31 <br />