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Lm �•Z?-v�F (�es o f,r��m <br /> � �,� <br /> Total Fee: $ �y�9. ��' M u� Date Received: `�"'�� � � <br /> Entered By: �1S 5�� Permit#: �O 739$ <br /> b�f's'� PEX�#" 1� � �S�C� � ( <br /> CITY OF ORONO - BUILDING PERMIT APPLICAT�ON <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�tt all infor�nation) <br /> ------------------------------------------------------------------------ --r=_==_-_=�--�---------------------- <br /> THE APPLICANT IS: (circle orae) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: ��:.� C`�C.�O�-I�==1 �f�,C�" ZIP: L�� ��(� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a special event pen�iit is required with Police Department a�zd <br /> City Council approval 60 days prior to the event. Non-pernzitted <br /> events will izot be allowed. <br /> Z � <br /> NAME OF OWNER: ��1 l n.l�}- �iC,�"�—1 L � Kr°K HONE: (home)Q;jZ'�-7(0'l� �3 <br /> � (work) <br /> MAILING ADDRESS: �='', C��� t����-� CITY: �Cz���U�, ZIP: ���5�- <br /> CONTRACTOR: _C�STLCc'-c,"�Cc=- C��r��f��h�(I�S ; ({ri(. < PHONE: L���-3�-�v -(���_�Z <br /> CONTACT PERSON: �lLj-tk-r✓:� �'1(LIL�Cr[L MOBILE/PAGER: � <br /> MAILING ADDRESS: 'z;��� �--��vc�c�'_���1 ��t CITY: ��t�r`r"�'��rpc,�ZIP: S��5� <br /> � STATE LICENSE: # � ����3 EXPIRATION DATE: �— �1 " f`> <br /> ARCHITECT/ENGINEER: �� L��C�.L(-� ��'��I� PHONE:C I Z���`�Z" ��'•`��=' <br /> MAILING ADDRESS: L-1�Z ��'—�� t��`C Nb(Z�H - � .�C�t�� CITY: l�`I t'(.5 ZIP: 5��� i- <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home _ � Remodel/Alteration �� <br /> PROPOSED WORK(describe in detail): �I�V� ta�`�i Ha�+►=�r �t (3v�I,V �'itv��� �_�`�-`r�� Vf}i����a <br /> �,� P <br /> STORIES: 2- SQ.FEET OF EACH FLOOR: �5`i" (� 5���z���� Z.(�,�- <br /> NO. OF BEDROOMS: `�' _ GARAGE STALLS: ATTACHED ,'� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��!`/�� , � CJ(.! <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: / =� , � ��--����"DATE: �' 2-4-- v�- <br /> � <br /> 9 <br />