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r ' O ��(�1l � 3zi�y° <br /> 1/1/ <br /> � Y <br /> Total Fee: $ , Date Received: /�-/O-D� <br /> Entered By: /1iL Q',C Permit#: �'O[�8'� DOo2 9� <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 CONTRACTOR <br /> JOB SITE ADDRESS: .3.5'�,� t'' ZIP: �S�� I <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 demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �1C.;�A�L, � I`�p�-R,�[ 17R�Zq�-rJ PHONE: (home) (d L-7/D•9GY� <br /> (work) <br /> MAILING ADDRESS: ���((� �v�/ P�-/�u� CITY: 02�n�.o ZIP: ��39 � <br /> CONTRACTOR: �:pt.�,�� C��pp �--L-C- PHONE: t�/L-3.5�j- /7a�1 <br /> CONTACT PERSON: �,,,� �n�,,���F� MOBILE/PAGER: ��L -490 �,+SGS <br /> MAILING ADDRESS: i.Sa. z�+� /h, I�l- CI�: PivM oc.in-I Z � "b5�/�7 <br /> STATE LICENSE: # ,Zo 13sy�� EXPIRATION DATE: � o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home _� Addition Accessory Structure <br /> Move Home RemodeUAlteration(i.e.:Siding,Windows) <br /> ''�''`.��721'G'L(t'��2 t11t)L'C'IP7G'f1f tPlLl�'1"£'l�tdli°d?1�C�u'TD RL'L'lC'/1�' C7)2€1��£'Yt?TIl t <br /> PROPOSED WORK(describe in detai�: 1��.,,v R��;.fl�,�t'n� Cv,.���,uc�-wr.l. <br /> STORIES: i `/Z SQ.FEET OF EACH FLOOR: �-L�z�Zy M�= z�►� l.t L=g.iy <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED � DETACHED — <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $g��l� , �� <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 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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: -�- DATE: o � �8 <br /> , <br /> � <br />