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R �4 <br /> C��,o2 <br /> �o�� <br /> Total Fee: $ �070�.d.� Date Received: �-���0 � <br /> Entered By: Permit#: /�l/c� _� <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 R CONTRACTO <br /> JOB SITE ADDRESS: ?-5'0� I�ellv ��v►� zIP: S���? <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No /fyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shutt/e 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: ��Vl� � �r�s,lcv� ��[�E' PHONE: (home)�'!�2'�l`�f-S�'1Z� <br /> (work)cf SZ'�`f�-t'S`!Z <br /> MAILING ADDRESS: 25O"T �t�2 CITY: ��.��'a✓' ZIP: S33 <br /> CONTRACTOR: K�Qv� � -�jN2.�/p�v�, �jn� • PHONE: ��2 -475- (2.�'j <br /> CONTACT PERSON: �)�� ,�vt s�m-� MOBILE/PAGER: l�12�328- �063 <br /> MAILING ADDRESS: IS!I�( �'�(�q C31vc.� CITY: ���ZIP: ��5" <br /> STATE LICENSE: # 72�j2 EXPIRATION DATE: 3��/�?�Co$ <br /> ARCHITECT/ENGINEER: �fZv�.� � SV�t�., �ti�.c. PHONE: Gj 7r2 -`}'�TS- I�-Z`�7 <br /> MAILING ADDRESS• ��►�� Ms,�k� �(-�� CITY: eti ZIP: S34S <br /> NAME: ���i�o�S�- REGISTRATION: # 22g�--t <br /> TYPE OF WORK: New Home Addition Accessory Structure �r <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�: ��CGV� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��-rj,�Ov <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 /> APPLICANT'S SIGNATURE: DATE: �.7 2� 7 <br /> 31 <br />