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r� t/ ,-f �� . <br /> (��-� � <br /> Total Fee: $ Date Received: a a�-��P <br /> Entered By: =--� � Permit#: Ap 9�/7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must Ue submitted in full before plan review will be started. <br /> (please print all infor�nation) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICAI��T IS: (circle one) OWNER OR CONTRACTOR �? <br /> JOB SITE ADDRESS: � � �'� �� X 5 � ziP: ��3�'!I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑I�eS �T10 If yes, a special event perrnit is required with Police Departrsrent af7d Ciry Coarncil ap�roval <br /> 60 days pr•ior to the event. S17irttle bars service will be reqa�ired unless applicarzt demonstrates <br /> sz fficient on-slte par•king is availnble. Non permitted events tivill not be allowed. <br /> / <br /> NAME OF OWNER: �,� ��7 ��y � C ��✓'�'� ��a U�4s'pHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: L��it cI �,J e I Sv La CG��7 % -,�-�t L PHONE: 76�-4`-`�� �3`� ��S <br /> CONTACT PERSON: S� F j� l�l�l.5'a�--r MOBILE/PAGER: �r �Z - ��; �3 oc�� <br /> MAILING ADDRESS: �'�� / s"r/�U c (V CITY: .�5�{Yr i ; ZIP: ��S�U_�U <br /> STATE LICENSE: # !3 c � �v 3 g� �,� o EXPIRATION DATE: 3-3/-DL <br /> ARCHITECT/ENGINEER: y. I� � v'C I� �, ��e c � PHONE: � /�. ' J �� ' �!�`'� <br /> MAILING ADDRESS: �. 4 C7 l�( �' Ty �vP CITY: �� S ZIP: S��p/ <br /> NAME: REGISTR.A ION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) _Z� <br /> PROPOSED WORK describe in detai�: C �► ; ,,1 �So�yl � ^Y1 l t � <br /> � ;4 p C1c� <br /> STORIES: ,.�,, SQ.FEET OF EACH FLOOR: .z �C� <br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED_�DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ A�-�- ���' <br /> I hereby apply for a building pennit 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 pennit;and that the work will be <br /> in accordance with the approved plan. � <br /> � <br /> APPLICANT'SSIGNATURE: �,_i�_S_�. �� /) �-%�`(,�, 7Y�5DATE: L� 3 U � <br /> � C� `� <br /> 31 <br />