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, u <br /> � 3�� <br /> , � � ,t <br /> Total Fee: $ �J 78• � Date Received: ��!o�/� <br /> Entered By: Permit#: a{408- Q(� ��/ <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 OR ONTRACTOR <br /> JOB SITE ADDRESS: 2 cN o f�� S�r�u-� ZIP: SS 3q i <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS � NO /f yes, u specia/event permit is reyuired ivith Police Department and Ciry Counci!approi�a! <br /> 60 days prior to the event. Shut�le bus sen�ice will be required irn/ess app/icant demonstrates <br /> suff cient on-site parking is avarlable. Non-peymrtted ei�ents�+�il/no�be a/lowed. <br /> NAME OF OWNER: �n PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ZL`1� Fa� S-kic,-� CITY: ocoa. ZIP: Ss3�1 <br /> CONTRACTOR: 5�'�^��-►•�1 � �� � PHONE: �si'N��' °5 YH <br /> CONTACT PERSON: 5�<a �,µ�j''.�fgar.! MOBILE/PAGER: L�t-zc� -z.c�o <br /> MAILINGADDRESS: ��I�� w-.- z•�'� r,�v z CITY: -M:��+-�•I,� ZIP: SSy�-L <br /> STATE LICENSE: # Z�5�H 3� EXPIRATION DATE: <br /> ARCHITECT/�NGINEER: ��+�.� l�ltx...��...r PHONE: �►S z-y73-�a�'1� <br /> MAILINGADDKESS: 4a� Lasf ���t. st CITY: �./�yc,t., ZIP: S'f3'►1 <br /> NAME: �1�X,.�!✓ �:5�,� C��.,�o REGISTRATION: # N�A <br /> TYPE OF WORK: New Home X Addition Accessory Structure <br /> Move Home RemodeVAlteration(i.e.: Siding, Windows) <br /> ,� � , , � �,,�;��; .19C�lf'I) �;;�� ;,���� „�. -� ���_ : ;<<,.� <br /> PROPOSED WORK(describe in detain: �tw f{„y.�.- �aNS��c��! <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: H'SZ <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED�_ DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ $o0�oaa� <br /> I hereby apply for a building permit and I ackno edge that the information above is complete and accurate; <br /> that the work will be in conformanee with or inances and codes of the City and with the State Building <br /> Code;that I understand this is not a per nd ork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan <br /> APPLICANT'S SIGNATUR : DATE: ��'2/-e� <br /> 31 <br />