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Total Fee: $ � ��1' / . `� � Date Received: `� �� ��7� <br /> Entered By: >> . �� Permit#: 21 <br /> �-�� �7//Z%c-C�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•int all infor»iation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: , (circle one) . WNER R CONTRACTOR <br /> JOB SITE ADDRESS: ���� �''�C�L-+`�Sc�r� ��T ZIP: ���( � <br /> , <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If ves, a special event permit is required with Police Depa�-tment and Cih�Cotrnci!approva! <br /> 60�lm�s pr�ior to the event. Shuttle bus se�vice will be required�nTless applicant demonstrates <br /> sufficient on-site parlcing is m�ailuble. Non perntitted events wil/not be allowec�. <br /> NAME OF OWNER: ��-Tl�t-'�cwv� ,�1�c-t-����u` ��+'v�HONE: (home)�7�3-�1--I`fb�� <br /> (work) �(1}-�(��(.e7-73 <br /> MAILING ADDRESS: ��{�01 �',I��'�t'S�" N�`� CITY: ��1�2tc��'C ZIP: ��C,�� <br /> CONTRACTOR: �Cf�zcE?��" �15'�'LcC��G'%�� Iv�+ PHONE: �ll����''�"�3 <br /> CONTACT PERSON: �v1,�}'TttEu� MOBILE/PAGER: (1<a-�/7 �3 <br /> MAILINGADDRESS: ��y7�. F\�v�vyr_ �t- CITY: J : ��� �-/Z ZIP: 3L� <br /> STATE LICENSE: # �G'��� 3 9�/ �7 EXPIRATION DATE: � % �t� <br /> ARCHITECT/ENGINEER: � ,�i}'iO S�'!u u L�C�v�� PHONE: CP��-��- l �'T� <br /> MAILING ADDRESS: �,`�/�' O�-�v�i2-f1i'i S CITY: ��ti'l��-S ZIP: � <br /> NAME: ��U�J S,•'�4 E��<�rs REGISTRATION: # _��Z�_ <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(clescribe in detai�:��:,� �.z�',{,Iu�.�iz��� [7� � S��'Y� � <br /> �:�u l�' r�.'�,..,.;�ti �'�� <br /> STORIES: ,� SQ.FEET OF EACH FL0012��5� I ���� �J�7 <br /> � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �J�1 C�C� ,�U <br /> I hereby apply for a building permit and I acknowledge that the inforniation 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 /> . <br /> APPLICANT'S SIGNATURE: DATE: � � �' <br /> --G����e��e, , ����l�' <br /> 31 <br />