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Sep 22 �5 10: 53a Scott 763-551 -1527 p. l <br /> Total Fee: $ <br /> ��;`�� -'^L% Date Received: �,�(``f �'_%�� <br /> Entered By: I.--{'? 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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ��� o � ��'�. _ZIp: 5 5 3 5 �-• <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No Ijyes, a special evenY permit is reguired with Po/ice Department and City Council approval <br /> 60 days prior to the eveni. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is availuble. ?Von-permitted events will not be a!lowed. <br /> NAME OF OWNER: � J�1� ���,r•-••�+_����. PHONE: (home)q�Z yl� s ?9 34 <br /> (work) <br /> MAILING ADDRESS: . ` CITY: �L�,s ZIP: +�S 35 L <br /> CONTRACTOR � PHONE:'7 b 3•55'�.41.'?$ <br /> CONTACT PERSON: . O ElPAGER: <br /> MAILING ADDRESS: ��.10 4� S 3�'�� � N � CITY: — ZIP:SS y yZ <br /> STATE LICENSE: # 3 q 9 q EXPIRATION DA E: 3� o la <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration �_ <br /> PROPOSED WORK(describe in detain:� o,` �sx a4-� J�• R.�+-r <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> . • <br /> ESTIMATED CONSTRUCTION VALUATIUN(excluding land): $ ��o e � <br /> I hereby apply for a building permit and I aclrnowledge 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 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 aecordance with the approved plan. <br /> APPLICANT'S SIGNATURE:�Q DATE: � � 1�, • 0 5 <br /> 31 <br />