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1 .��' <br /> �� <br /> h V <br /> � r <br /> �.� Total Fee: $ ,�;� ��5 3:. �� Date Received: I O -�j-C�`�J <br /> Entered By: �r'K- Permit#: _ ,�L,��t�5� <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 O CONTRACTO <br /> JOB SITE ADDRESS: D .,E p/�1G,� i7, ZIP: 5�•39 / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO /f yes, a special event permit is required ti��ilh Police Uepai•tment nnd('i1y('orrncil approral <br /> 60 days prior lo the event. Shu/tle ba�s sen�ice i+�i/1 be reqi�ired rrn/ess app/ican�demons7rate.r <br /> su�crent on-she parking is arailahle. Non-permitted events N�ill not be allomed. <br /> NAME OF OWNER: ��1V �,�!-��d.SG PHONE: (home) <br /> /J /-/ (work) <br /> MAILINGADDRESS:zLzL C.�03�y /�n CITY:v�'�I��� ZIP: 5'�'3q � <br /> COI�TRACTOR: � QN Ct7� NC PHONE: q'�`Z.' J8'�J$� <br /> CONTACT PERSON: p MOBILE/P��}GER: �/Z- 91 �/D �j� <br /> MAILING ADDRESS: !. G, D Sal� CITY: 170r�Ki s ZIP; SS�S�„3' <br /> STATE LICENSE: # 3?9 S"" EXPIRATION DATF.: 3 �}'D <br /> ARCHITECT/ENGINEER�f�f��f1•�� �,�5/ti/�/ PHONE: 9'sZ'��-9�sa <br /> MAILING ADDRESS: 4�6 ,ECGt,/r� r: CITY: �G � ZIP:S� <br /> NAME: ST��6 L,.c',�v�� ����HR�r REGISTRATION: # <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Home RemodeVAlteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: � ' / SQ.FEET OF EACH FLOOR: 3Z�J <br /> NO. OF BEDROOMS: `7 GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_l, ',SQO, �QD <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 f understand this is not a permit a d work is not to start without a permit;and that the work wil I be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � 36 �S� <br /> 31 <br />