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,`;,y,` <br /> `\�a <br /> P �� �; 1 <br /> _ � <br /> � � � -� L. <br /> Total Fee: $ �� �✓ Date Received: "���� � �` � C <br /> Entered By: Permit#. � i –'� G �i`-% <br /> TY OF ORONO = BUILDING PERMIT APPLICATION <br /> All infor ation must be submitted in full before plan review will be started. <br /> (please pf•i,zt all infor�rnation) �' <br /> ------------------------- ---------------------------------------------------------------------------------- --�------- <br /> THE APPLICANT IS. (circle one) OWNER OR CONTRACTOR � <br /> i <br /> � <br /> JOB SITE ADDRESS: S� C�C sTU�C'kr c�G ZIP: �S�L <br /> Will this be a Parade of Homes Remodelers Showcase Home or other splay Home? <br /> ❑ Yes � NO If yes, a special nt pe�-mit is required witli Police Depa��tm t nnd Cih�Cocrnci!approvaf <br /> 60 days prior zo the ent. Shuttle bus se�vice wil(be requir d culless applicnnt derno�zstrates <br /> su�cient on-site parki ��available. Non pernzitted ev nts will not be allowed. <br /> NAME OF OWNER: w���'.e-c��. ti,�.,�� S µ� PHONE: (hoine)�iszy�yo �07 <br /> (work) <br /> MAILING ADDRESS: 3�T a E w Y:�►^��-r}�c.� ZIP: SS3S'� <br /> � <br /> CONTRACTOR: ►�.�e S PHONE: (,r Z s a S S�33 <br /> CONTACT PERSON: �,,� ,� , ,*..� OBILE/PAGER: <br /> MAILING ADDRESS: 3Z z o .d ITY: Lo�6�c,� ZIP: SS3 S'� <br /> STATE LICENSE: # _ EXPIRA�'ION DATE: <br /> ., <br /> ARCffiTECT/ENGINEER: w� 5 � �+.R \, PHONE: <br /> MAILING ADDRESS: CITY: �,, ZIP: <br /> NAME: / REGISTRATION: # <br /> ,\ <br /> TYPE OF WORK: New � Addition Acc�ssory Structure <br /> � <br /> Mo Home Remodel/Alteration \ <br /> � <br /> � <br /> . <br /> PROPOSED WOR describe in detai�: �1��,r Co � a rn�,ex �r: -- +�a� �! <br /> , <br /> \ <br /> STORIES: SQ.FEET OF EACH FLOOR: ZSd o �' <br /> NO. OF BE OOMS: 3 GARAGE STALLS: ATTACHED Z. DETA HED <br /> . — <br /> ESTIM TED CONSTRUCTION VALUATION(excluding land): $ � � �f;:6v o <br /> —� �` <br /> � <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;ar_d that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: — DATE: �/ /9 � <br /> � <br /> � <br /> ' � ��.� 3' � � �lJ��� <br />