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1 <br /> � Total Fee• $ '�����[�f, L• DateReceived: 7-/9-D`� <br /> �'� ' <br /> Entered By: �Y'� Permit#: f�O 7�20 <br /> �� <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 OR CONTRACTOR <br /> 3E�4�(� <br /> 34B SI'TE ADDRESS: {�4 �PJ(,�� J A CO�S 1�(w ORO"l aj MN'LIP: ��6 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No Ifyes,a special event permit is required with Police Department and <br /> City Council approval 60 days prior to the event. Non permitted <br /> events will not be aldowec�. <br /> NAME OF OWNER: A�i}�.ANo G/tR•fzt(s'VA^� S(,�a7ct� PHONE: (home) 67 7' 922'Z <br /> (w�k)9�2 �o�F 5�a <br /> MAILING ADDRESS: I � 3 o S 3'7�PC�F I���=eCyM�� ZII': SS�6 <br /> CONTRACTOR: �jo�C/�( lo�vsflzrk�l7 0/�/ PHONE:7�3 SS 7 I6� � � <br /> CONTACT PERSON: �O��� MOBILE/PAGER �f 2 �6� 6 2 6 2 <br /> MAILING ADDRESS: �(?2 5 54�1'N �'� N CY�=�yM nv� ZIP: 559'� Z <br /> STATE LICENSE• # �10�f/,2.3 EXPIRATION DATE: ✓��,�-�� .3%-- :��'�'� <br /> ARCffiTECT/ENGIlVEER ��[t�lE G�C�}-t7�E 6RA�'P PHONE:6�� 2�6 ?S?S' <br /> MAILING ADDRESS: �.0�2 INO/MV�ZQ ti/ C`I7'Y: /V1�N�+/t'T��'9 ZIP: S S 3oS' <br /> NAME: p�'�'L'I'L �S�w��' REGISTRATION#G�-�3l5 3-a�S <br /> TYPE OF WORK: New ✓ Addition Accessory Structure <br /> � Move Home Rv�nodel/Alteration <br /> PROPOSED WORK(describe in detail�: SIn�4 CF t+�►I�Y 1�'SlD�'n� �''�,�17'�'1"�c� <br /> STORIES: 2 SQ.FEET UF EACH FLOOR f 9 L% 2`I l� UL � 2 Q L O <br /> NO.OF BEDROOMS:�_ GARAGE STALLS: ATTACHED� DETACHED O <br /> ESTIMATED CONSTRUCTION VALUATION(egcluding land): $ <br /> I hereby apply for a buiiding permit and I acl�owledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances a�codes af the City and wit3�t�e 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 /> Arrr�ICA1vT�s sIGNATuxE: .� � r DATE: ,�rG- --�'�` <br />