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�iV' <br /> , 5 <br /> Total Fee: $ 9�S`�� Date Received: S'/D"d� <br /> Entered By: � Permit#: �p87D 2� <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 /> THE APPLICANT IS: (circle one) OWNER OItLCONTRACTOR <br />� JOB SITE ADDRESS: � �S� ��G�- �J�c1 �U�• z�: S��s�l� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � 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 wi11 be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �.t�E�+1�t/ �St,t,�..1-► �✓Lc 6� PHONE: (home) <br /> (work)(GI'2� ZSv-y0� <br /> MAILING ADDRESS: �� �Y�5`�"J tC'c.c) �� CITY: �rt� ZII': ,fi5 3S ,, <br /> corrrxACTou: /��(_ /��t��l�" i�CaOl� /�C rxorrE: 7G3-7� ��1�2� <br /> CONTACT PERSON: �s�} 1 MOBILE/PAGER: 7�" 7 =-7S� 3 <br /> MAILINGADDRESS: 5���; �',;,�cw1,KK�.� CITY: 1�' ZIP: �-s`ir,z <br /> STATE LICENSE: # EXPIRATION DAT : <br /> ARCHITECT/ENGINEER: .�A r'�I� (�v�ti-�-ni4�.�v�� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: �;�S�'c.�(�a t�o n �� Gin �� x�� I r1(�M� <br /> �� �tn� � S'43►�M t'n��� ��-�� ` <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � �.,�+ <br /> ESTIMATED CONSTRUCTION VALUATION(egcluding land): $��CX' <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 Sta.te 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: d� C3� �-��T <br /> 31 <br />