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C�-�-� <br /> R- u`0� <br /> Total Fee: $ (�J�B. 53 Date Received: �I-1�(-�'� / <br /> Entered By:c�'Y21 Permit#: (j��j��� ' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> / <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 O CONTRACTOR �' <br /> JOB SITE ADDRESS: /�f/G l�-r.�sr 1�n.v�s ��-=tO ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonsh-ates <br /> suff cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: —�nic�� ��y.4�, a �,�� PHONE: (home) 7S�- y�Y- /�s' <br /> (work) `ls>- /7y-Sr:�,��' <br /> MAILING ADDREss: /,�i� �✓�wti r%��rl�,��/ cITY: f';-�z�,�. zIP: <br /> CONTRACTOR: k/y /�.�,%�,�,� �c��• . PHONE: v�d- 9)�-y'c�C,cz <br /> CONTACT PERSON: ����-�.s�.y MOBILE/PAGER: G�/J- 7.�.�-��.�o � <br /> MAILING ADDRESS: P�'i ,lr�.u:�' /clue �i,.,.�'i' CITY: /"l�f_i �'i ZIP: , s o - <br /> STATE LICENSE: # �I t' - 2c�i�/of/YL EXPIRATION DATE:��/�,/n_�_ <br /> ARCffiTECT/ENGINEER: iy�r,� PHONE: <br /> MAId�ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home RemodeUAlteration �_ <br /> PROPOSED WORK(describe in detai�: � �,;�,/� /,r,� � ./�.a�����.4 <br /> �`,�..✓r� �v ;!hu����- /�� v.�:,�s <br /> STORIES: Z.- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE 5TALLS: ATTACHED DETACHED_ <br /> ESTIMATED CON5TRUCTION VALUATION(excluding land): $ �5 ���c� ' <br /> I hereby apply for a building pemut 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 pernut;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE• DATE: � , <br /> 31 <br />