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Total Fee: $ ' �� �% � Date Received: .S=�l—�-� <br /> Entered By: ;, Permit#: �AD87// <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 infortnation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> -- _. <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: IL��J�C} �-���( l��,e/l 1 �/ ZIP: �,S �5(� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS � �i O If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shzrttle ba�s service will be reqzrired unless applicant deinonstrates <br /> sa ffrcient on-szte parking is available. Non pennitted events will not be aZlowed. <br /> NAME OF OWNER ��<< ��«i,�r� ���y+C: � PHONE: (home)y52 y�3 ��%2 <br /> (work)�ySZ �y� (�,3�9 <br /> MAILINGADDRESS: /(`S� Ct�x �r�.r•,-� l�l CITY: ���'o��a ZIP: �53$6 <br /> CONTRACTOR: r�,'a PHONE: <br /> CONTACT PERSON: C r�� Z�.:.��� BI AGER: y,'� 5�r s ��y r <br /> MAILING ADDRESS: CIT�': ZIP: <br /> STATE LICENSE: # EXPIRATIOiv DATE: <br /> ARCHITECT/ENGINE�R: ti.�-� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration ` <br /> PROPOSEDWORK(describeindetai�: � /ylnv� �c�,�„�c�,�u k-'c^rt�,r� clase-f <br /> ���f� c ct,��;c_c,-e_ . � <br /> 1'T L,. <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��3� ,5'T/ <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED�_ DETACHED C. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ '�'GE' <br /> I hereby apply for a building pernut 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'SSIGNATURE: �,G p �'� DATE: S - (�-C',�j <br /> , <br /> 31 <br />