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. �oa <br /> . c �.�- <br /> Total Fee: $ U G�}� .� � Date Received: �-a -�� <br /> Entered By: � Permit#: flb9�a 3 <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 NTRAC OR <br /> JOB siTE anv�ss: l I(�0 k��'l� CLU� �.C�,�llL zlr: � S 3�-{ I <br /> Will this be a P�rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �NO !f yes, a specra!event pei•mit is required with Police Department and City Council approva! <br /> 60 days prior to the event. Shuttle bars service will be reqarired unless applicarrt demonstrates <br /> su�cient on-site parking is avai[able. Non permitted events will not be allowed. <br /> NAME OF OWNER: �IL�,Vtiilk, � 1..{,1.��" �-Q�"ZI�f.� PHONE: (home) �� �- -�1 3 "�1 g� � <br /> ` ,n , (work) <br /> MAILING ADDRESS: � �(�U `�i�I(L �"�LU,L f�LQ.CITY: 1v�' Z�� ZIP: S S >�{ J <br /> ___— <br /> CONTRACTOR: � L�U-V�r Ui;�n�J PHONE: �a�s"t -'1"lb -� 3 4� � ��'`'�' <br /> CONTACT PERSON: MOBILE/PAGER: -7t�3 -��tG - !��q,j <br /> MAILINGADDRESS: � " �3 St�� pi�t� �� I�S CITY: I'1/�u.�t,t-r1�,c;J ZIP: ���t `I <br /> STATE LICENSE: # _ - ZU�ZI�S�� EXPIRATION DATE: 3 ZUU� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition ,/ Accessory Structure <br /> Move Home Remode(/Alteration (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�: <br /> �.� �.u-SU�1 S i.�.n r oU��n �CJ�G�(,�i u� <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �.��(i U l� <br /> [hereby apply for a building permit and 1 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 1 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 /> V � � ZUv � <br /> APPLICANT'S SIGNATURE: DATE: <br /> 31 <br />