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__�i <br /> � �3�o <br /> �- <br /> Total Fee: $ a�S�' � l Date Received: �O `a3-OJ`" <br /> Entered By: Permit#: %088 <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 /> ---------------__�________—�--------------____—__---_____---- _ <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTR.ACTOR '�___________ <br /> JOB SITE ADDRESS: /�G� �/�VJyfi� �SV�NGl� ZIP: 553�� <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 reqarired with Police Department and City Council upproval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstr-ates <br /> sufficient on-site parking is mailable. Non permitted events will not be allowed. <br /> NAME OF OWNER: Cy}Z/5y"D,*',r�1,�� �/L,Lr^S PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: /30� �l,�t�4�A �V�• CITY: O�'ONO zIP: 5,S � <br /> CONTRACTOR: (Ylul�c:r- S�v� <br /> i:�l d� PHONE: � �� ' �`� �: _ �.;� 7�' �r�:u: <br /> CONTACT PERSON: I'1`�ar�k ' h ICe- MOBILE/PAGER: �r i a-�� � -�S7� <br /> MAILING ADDRESS: fo�3�., t�lul br%:r� L;i �_ CITY:�i,a�� ►•�ss<�, ZIP: S�3�7 <br /> STATE LICENSE: # a+e�.3�� � -7� EXPIRATION DATE: 3 - 3 I - c�` <br /> sus� �'-�� <br /> ARCHITECT/ENGINEER: .l� � PHONE: lo✓�%(.�g�f-/,�`�/ <br /> MAILING ADDRESS: /9�G�'i4/ OY,li�/T /�'1/E CITY: vr�{-�Iy ZIP: 51D5 <br /> NAME: �y-�pNA�t/� Y06/N�`t. �i1lt�/>V�v�. REGISTRATION: # 2/��✓ <br /> TYPE OF WORK: New Addition ,�_ Accessory Structure <br /> Move Home RemodeUAlteration �_ <br /> PROPOSED WORK(describe in detai�: s�'v�P,� 1�� TO /703 f�! ✓G.� �'�/���G�. <br /> ,b�>�t�5� Exr� G��g�� � �!��G� N�i 9io!� 3-�� G�f1��.��', Xr�no�'�. �9G� <br /> Or� �.�.ST�'/c!!� f�dG/�5�'- <br /> �TORIES: � SQ.FEET OF EACH FLOOR: y�''�f;;��ii�1��� � ./��1J G�/;->'�.�"'LI//�,tit,/�;�'� <br /> NO. OF BEDROOMS:��1 GARAGE STALLS: ATTACHED� DETACHED�;�- � <br /> �' i�''l'�� ' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .��Z C'�,�`=C:v <br /> I hereby apply for a building pemut 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 SIGNATUI2E: �I��-'�Lc-���-�' DATE: �u a� "�'� 4` <br /> �I� - J (Ci ._ JO� JC.� <br /> 31 <br />