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, �.� <br /> Total Fee: $ � �^Z �' 3 Date Received: 8-/D-D � <br /> Entered By: n�J �'��) S� �3 Permit#: RD�8Z/ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it all i�zfor�natio�i) <br /> THE APPLICANT IS: (circle o�te) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: � o�s ��1'!r�'�- ��5 S ZIp; 5 � 3� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [� No If yes, a special evertt permit is required witlz Police Depar•tment and City <br /> Council app��oval 60 clays prior to the event. Non pernaitted everzts will not <br /> be allowed. <br /> NAME OF OWNER: �v��<< ��' � `'''�5�� �' ����el pHONE: (home) 763 "o?`�� " �`��a <br /> I1 _ (work) 6 3 " �5 � ( 7 <br /> MAILING ADDRESS: Sa� �T"�'^'��' �a S S CITY: �ti 2� ZIP: S S3� <br /> �,�, ��`1/Nrc�ou-}'� <br /> CONTRACTOR: G"�� G��Q- �"�� ���� PHONE: <br /> CONTACT PERSON: � MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure � �r�^� <br /> Addition Move S�ne c�. <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe i�: detain: �G / x l� I ��' ��C J"`Q� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> _ ,___ ___� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land):��$ 3`-1 c�� `�"�" <br /> � <br /> I hereby apply for a building permit and I aclmowledge that the information abov � cura e;t at the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: ���� �- c�����-Q DATE: � �� � <br />