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� �a/D� <br /> - ,a <br /> �_---- `-- <br /> Total Fee: $ J�9�9. �� ` Date Received: �o�'�p-�'-t� <br /> Entered By: Permit#: - �a�e�-- <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 infor�raation) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � �2� �dk �'T��,� ZIP: 3S�_ <br /> Will this be a P e of Homes, Remodelers Showcase Home oi- other Display Home? <br /> ❑ Yes NO If i�es, a specical event pennit is required wit11 Police Depar7ment arzd Cifi Coc�ncil approval <br /> 60 days prior to the event. Shuttle bus se�vice wil/be required unless app/icant dentonstrates <br /> su�cie�it on-site p�arkirig is avnil�ible. Non pe�•niitted events will rzot be nllowed. <br /> NAME OF OWNER: 1�- c� E�� = �GVIR-lL� PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: Zl��b�►�.a,�ir,.�. c�,� CITY: Lpr�.(T L�t�c� ZIP: ��,SC� <br /> CONTRACTOR: �.��,�.,[� u�t-sov� Cv�t . Sr-� PHONE: (,�[Z ZQZ 3�P <br /> CONTACT PERSON: �� xt1 C-L�Sv N MOBILE/PAGER: �[Z 2$L 30�'�4 <br /> MAILING ADDRESS: jl� 1s�' Ad✓rs /v CITY: �sftwt� ZIP: 55� <br /> STATE LICENSE: # �C— 203��{4'{d EXPIRATION DATE:��I 2cQ� <br /> ARCHITECT/ENGINEER: �� A'RC(� PHONE: (Q(2 �? ( �.l�S <br /> MAILING ADDRESS: 2�{,D �tlof�f'(-� 9�� AvL CITY: yhQLs ZIP: 55�[ <br /> NAME: /'�1Ft�t�pr Yun,lt.rz�- REGISTRATION: # <br /> TYPE OF WORK: New --��� Addition _� Accessory Structure � <br /> Move Home Remodel/Alteration _�� <br /> PROPOSEDWORK �lescribeindetain: /✓Gw �o�taAg�: � ��pL�- � t�d�t�"��''`� <br /> �p F' S L' QLO(v <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED �? DETACHED�� <br /> � fl � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � `�-?�,� <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 conforniance 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: � D <br /> 31 <br />