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�� y.n,C'S <br /> , �-2� -D <br /> Total Fee: $ ��S 73 Date Received: ` ' ��`> � `� <br /> Entered By: _��— Permit#: f' .i�, <br /> �— <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 i�tformation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICAI\TT IS: (circle one) OWNER OR CONTRACtT�ORQs � <br /> JOB SITEADDRESS: �� �p U �v�����t S-� � ZIP: ��3�� <br /> Will this be P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �0 If yes,a special event pennit is required with Police Department and Ciry Council approval <br /> 60 days prio�•to the event. Shz�ttle bars se�-vice will be reqirired z�nless applicant de�nonstrates <br /> sz fficient on-site parking is available. Non pennitted events will not be allawed. <br /> c ' �'7'� -7330 <br /> NAME OF OWNER �0� -�tfrl'� PHONE: (home �S��G �-7.33d <br /> (work� <br /> MAILING ADDRESS: �� (� Covn-F,7 s-� CITY: Ora�o ZIP: SS S <br /> 'I f.�-. �..J es-1- <br /> CONTRACTOR: tt�mr� d�.�.er PHONE: `1S� - �I (�--73�0 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: -�{;I S ��.e � D4S-��1 PHONE:(�OS/ Y 3��.��3 � <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration x <br /> PROPOSED WORK(describe in detai�: �eG�C e�A-�S'ey— Q�t� �l�v� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $Z UDO. O G <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: ATE: 2� (� 5� <br /> 31 <br />