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'� i <br /> Total Fee: $ ;; �T, , � -,_,._,.,; <br /> � ;� 7`> Date Received: ��T � � � <br /> Entered By:��-- Permit#: �,�� �� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please p��i�it all i�iforniation) <br /> THE APPLICANT IS: (cir•cle one) OWNER ' R CONTRACTOR <br /> JOB SITE ADDRESS: � � � � ��~`"''"`��` ' I-U �-- ZIP: � S3 `�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No � If yes, a special evefrt perinit is ��equired with Police Departnzent an�l City <br /> Couricil approt�al 60 days pj�ior to the eve��t. Nofa pef�l�zitted events will not <br /> be allowed. <br /> NAME OF OWNER: ���`�h d��0.��� �, �-'� ����-n� PHON�: (home) �`�Z y?�-��Z��{ <br /> (work) �1 2-- 53"6 v -3 f <br /> MAILING ADDRESS: 2� � U ��`-�" `�" �' �`� CITY: � C'� i1 � ZIP: SJ`�3�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: ��R�� S��ci� sv �-� MOBILE/PAGER: Ct-. I Z -3 2 � - ��.`�i SCo <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �"``'`` �� ��v � � PHONE: � '2 ^��� - �C�S <br /> MAILING ADDRESS; �3`i1 ��,.���C�S I2u h CITY: �'��-��Cu�r�e ZIP: S.S 3 4 6 <br /> NAME: REGISTRATION # � g _�' 2 2 <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration � Land Alteration <br /> . <br /> PROPOSED WORK(describe i�z detai�: ��}�r :�c?� C�.�C ,�e�� CT��,�f, � ; ��t.h I7�r" h'1 e w�b r�{�,� <br /> C;�h � �c r �1 c c,J C �:,c r e'r� c:� �� �� ���,o , J� o C�' i�, ,' S+�r � .� fj��� c <br /> � �� a ���lU�,h ��,�,�� s <br /> STORIES: ( SQ. FEET OF EACH FLOOR: S7� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ (�, �pD o� <br /> � � <br /> i�� ¢. � ✓�'�c� �r�o.�_S <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: - � � �� DATE: 2- Z - � �{ <br />