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, � `��' �iZ� <br /> Total Fee: $ j � > n � DateReceived: �����J-�`5 <br /> Entered By: ,;,��� (; ��� Permit#: _�����( Q�� <br /> �.._ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before Plan review will be started. <br /> (please pi•iizt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �—� <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR�� <br /> _-- <br /> JOB SITE ADDRESS: �b�0 ��e��deLCi� t� V�}. ZIP: �39' I <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Homc? <br /> ❑ Yes �NO L/'yes, cr specin!event permit is reqirirerl with Police Deparlment and City Co�i�rTcil approvn[ <br /> �� 60 clnys prior to/he event. Sh:dtle fius service wi!/be reqtiired unless upplicant denaonstrntes <br /> sufficient arsite pcu�king is available. Non-perrniited even/s wil!not be nllowed. <br /> NAME OF OWNER: �Vv�� 'Q�SI�_ �w Fi�� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �.�� �o�� ��ti�n�#vv-� ��o�__, PHONE: �iS��I�`�-�`� C`�� <br /> CONTACTP�RSON: `�� �p,,`�go�--, MOBILE/PAGER: lQ�d �-$�� N'�1 <br /> MAILINGADDRESS: c�b� � , 1.�� S`f-, CITY: ���� ZIP: SS�qI <br /> STATE LIC�NSE: # �3ry(Q�Z5 EXPIRATION DA I'E: <br /> ARCHITFCT/F,NGINEER: -�OY��� N�tl„�;�c� PHONE: �Q�2'3�l �{l�{Z� <br /> MAILINGADDRESS: 'LZ5" �'ra.-�1c.�-4- St�-., �,�,,,,,",� �{'�{'"1 CITY: �`�;�,�hy�ar�p�`i1 ZIP: �S�tD� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in cletai�: ���n��y��-j �, ,��-� G� <br /> S'I'ORIES: SQ.F�C'I'O�'�ACI�FLOOR: <br /> NO. OF BEDROOMS: GARAG� STALLS: ATTACHED DETACHEll <br /> ESTIMAT�D CONS'I'RUC�'ION YALUATION(excluding land): � j��o�`� <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��vithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> AYPLICANT'S SIGNATUR . ' DATE: 1 D� <br /> 31 ' <br /> � <br />