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� • � y:l��'.��� '��/l��(� /� � <br /> .�! �L1 <br /> n '1 <br /> Total Fee: $ � � i.� � � Date Received: r�" '�`����� <br /> Entered By: �;'1� Permit#: �� % �� <br /> �ITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be stai•ted. <br /> (please pf�int all i�iforj�l�ation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) O`VNER O CONTRACTOR <br /> JOB SITE ADDRESS: ����o� l���a p Q.ac�,��t ZIP: <br /> Lrs►�g [..c�K� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO If yes, a special event pe�-mit is required with Police Departrnent a»d City Council approval <br /> 60 days prior to the event. Sharttle btrs servrce will be reqtrired a�nless applicant cfemonstrates <br /> sa fficient on-site pai-king is available. Non pe�•mitted events will not be allowed. <br /> NAME OF OWNER: To 6 Ej.�.�� �f�Q��v� PHONE: (home) <br /> (work) __ <br /> MAILING ADDRESS: � �'� C�TY: ZIP: <br /> , <br /> CONTRACTOR: �� �" ,,.1'�,,-�,1 ��' . , ^ � PHONE: Col Z- 3�S"e? '�'o� •� <br /> CONTACT PERSON: M B E/PAGFR: A+�� <br /> MAILING ADDRESS: 1t�z�§�-iUt�/ CITY: �J�a v ZIP: 5S��,3 <br /> STATE LICENSE: #vo�,�g J 9�_ EXPIRATION DATE: �--/-4� <br /> ARCHIT�CT/ENGINEER: Lsc,t /U e.�G�C 1f�'G�•t�t.�S PHONE: /„G,/.. �,/.�.�..�.g01 <br /> MAILING ADDRESS: �(��}�_�Q,s+�l,aGr 1D�. CITY: �/�ZIP: ,��� <br /> NAME: L�„� �.�,,�rr�� REGISTRATION: # <br /> TYPE OF WORK: New Addition _� Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: S�D.�,�✓� �v ��+ �C�e�c�rtie•.� �� <br /> �es�e..vr+.-c,.-�.�" wtc�-e.✓�� �Iv� rn N �-ua�►s-+ <br /> .L. <br /> STORIES: l SQ.FEET OF EACH FLOOR: 2 pD 5 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $����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 without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �� � DATE: �J—��D� <br /> 31 <br />