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� -�v('V2� <br /> .. a - �1�.� <br /> h c•�F �K<< <br /> Total Fee: $ `� ��'� � � Date Received: � -�,���V� <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 print all information) <br /> ---------------------------------------------------------------------------r-r==--� ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> _ i ' � <br /> JOB SITE ADDRESS: �`���U ��r'��S � � ��� %=�'�` '� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is reguir�ed with Police Depnrtment and City Coirncil upprovctl <br /> 60 da}s prior to the event. Shuttle bus ser-vice will be required zuzless applicant demonstrates <br /> su�cient on-site parking is available. Non-pern�iitted events will not be allowed. <br /> '-? / i <br /> NAME OF OWNER: f'�� t��' � i�al u�t c,�v�� PHONE: (home) (��Z -�J��> �-�2� r <br /> (work) <br /> MAILINGADDRESS: ���%C%{�-�--s�L%��� �f��<�C�TY: C��c:��, �� ZIP: <br /> Q.� L C �""iti5-��u c �� ��r.� <br /> CONTRACTOR: �L1 r�,�.�i�������,r.���� L, � �` PHONE: `j�S Z ._ %� �, `���J <br /> CONTACT PERSON: �)F ti ti� S L��u s k : MOBILE/PAGER: �� S z - �3 7- �����f <br /> MAILING ADDRESS: �',"��i v L �/��S k ; Lr7�v;= CITY: �`�Ur"/u i ar��v�?IP: �� �/'7 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: � �� S-� ���'t�v� ���5<<.c,- -1 ��c PHONE: �rs!2-�S�i Z �5� s'--- <br /> MAILING ADDRESS: j�5�� r ��C�%���� � i�� CITY: I��:�,,;s�;; 1(� ZIP: >j 30 � <br /> NAME: ��1��<�� /��o�yal REGISTRATION: # - <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration j <br /> J��n v <br /> PROPOSED WORK(describe in detain: D =vvc.v �x�s �-�-- �1� �= ��%�� • 4n�c� �-f�� <br /> ''r;;`` �4i i�{ r�w , r � � �����, / S- �i��j A �ilc��l •�.�r�r •�. �0��� - <br /> 3s-�3 Sf �i <br /> STORIES: � �/C SQ.FEE"I"OF EACH FLOOR: (�Z�� - � �� �` - �`��'� f ,�vis/�� � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACH - <br /> ESTIMATED CONSTRUCTION VALUATION(excludingland): $ ,.J�`� L�o . _ <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 Buildin� <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: �%�il/�� '- � -L/%v�' � DATE:�/�'/ �� D.S� <br /> —� <br />