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�� ,�� �.l-05 <br /> ... <br /> Total Fee: $ ��T . �-S Date Received: /�- ��.%'�' �`� <br /> Entered By: _ Permit#: � _ ��'�--CC) <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 i��for»zation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �.�S � L����,�.�,���� �����.O���� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ �TO If yes,a special event permit is required with Police Depaf�tment and City Council approval '�� <br /> 60 days prior to the event. Shuttle bus se�vice will be reqzrired unless applicant demonstrates � <br /> sufficient on-site parking zs available. Non�ernzitted events will no!be allawed. <br /> NAME OF OWNER: �-1 <�,��a,���_��t (➢���Se PHONE: (home) 'Z 63-1 e��Y�,3� <br /> (wark) �t���S 11�1�� 5 <br /> MAILING ADDRESS: �i�aaG �-�,�t l.� �.��- 1J CITY: ��y v�����. ZIP: S'S�i4� <br /> CONTRACTOR: S�.w.�- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PROPOSED WORK(describe in detai�: ��.._� � ow�c�=����. �,`�,�,z� -..�k��� <br /> t�.�`� �� ��� _`s� <br /> STORIES: � SQ.FEET OF EACH FLOOR `z� - a3 t o �-.�--`�� � <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED 3 <br /> ESTIiVIATED CONSTRUCTION VALUATION(excluding land): $ ��b� v � ��� �t���y'�8�4 l <br /> �D`t��>!�O`� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; o��O b�� <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 pertnit and work is not to start without a permit;and that the work will be bK,��,� <br /> in accordance with the approved plan. <br /> Q��.,...�- , <br /> APPLICANT'S SIGNATURE: G����-- � /��-- DATE: �I �S��S�� <br /> 31 <br />