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} <br /> �j�� (�> <br /> Total Fee: $ Date Received: = (p-v�o7�� <br /> Entered By: � �-yr�= , Permit#: p 7�O <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•i�it all inforniation) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWl\TEI�R CONTRACTOR <br /> �_... <br /> JOB SITE ADDRESS: 3701-� ,-�a��s ��d�( /�� - z�: S���w <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 r•equired with Police Department and City Council approval <br /> 60 days prior to ihe event. Shuttle bzrs service will be required unless applicanl demoi�strates <br /> sz ff caent ai-site par�ing is available. Non permitted events will not be allowed. <br /> /`+ �` (c��tO �7�3�5F3�-�?s� <br /> NAME OF OWNER: (�Z I�Q �.{z f/`�SE'�� PHONE: (honle) RJ`�o�`T7 oZ9/g <br /> � (work)_�S l-3%7-?�o� <br /> MAITL,ING ADDRESS: �j7c��' c�G���S d���� f� CITY: (�jv�iL�b ZI]P: �53��0 <br /> � ��r�-PHONE��`�„2�G, �' 7D7 <br /> CONTRACTOR: `'�v+i�} � A��� I�'o � � � �l <br /> CONTACT PERSON: Lc�nv� !2 MOBILE/PAGER: �,��-�z��-O�� <br /> MAILING ADDRESS: ,g-o c `� CITY: L'%�cL�f o ZLP; '_>'�;;;Z� <br /> STATE LICENSE: #���} .o. 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�: �j,�-�o ��3'�/(o� � ��a1�t�CyP%� r.,����1 <br /> . <br /> c e�.��-�,�� -J-icui �c-v I ( u l�' C��f'��� a/����t- ,Oi;�.-�t% , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land}: $ o'�E��'C� <br /> I hereby apply for a building pernut 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: rO ',��D5r <br /> 31 <br />