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�-� �-�s��� <br /> Total Fee: $ l ! 4/7. �� Date Received: �>��1���-f� <br /> Entered B ' � <br /> y: _ �aP�.Q� Permit#: �-� �;, �i y�-C lG' <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: = '� j�� l��'�=� ���L\��i ���'� ZIP: �-`�3�� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � lv0 If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ����i�v� 1 i'1�2� PHONE: (home)�`'1- `�1 Z� ���{:�1-. <br /> (work) <br /> MAILING ADDRESS: i���ls ���"q l-����c1c� ��J CITY: �������.�h�,� ZIP: �%�(� <br /> CONTRACTOR: z�I����. i�'� ���C:.�'���t��_,, PHONE: �'�2�'t�l 2-��i�?�J <br /> CONTACT PERSON: ��'�CS�. �J�Q�U� MOBILE/PAGER: ' <br /> MAILING ADDRESS: V^�i,;r� o-� �rc � � ��,,���_ �5� CITI': r.�r 1,�,.����c_: - ZIP: '��1�i�� <br /> STATE LICENSE: #_Z�Z 3�-1 ► �� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: !�'vI��R�������� L��%�t��� PHONE:�S Z� �� ��� ��{"�c� <br /> MAILING ADDRESS:`��-�Wu}F'lQt `,� ��:ll,:_ ..�- � CITY:C���,:I�>ycr�� ZIP: �� �( <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�:��-��r c�. C.�c����icT� v,,�.� Q`(,�s��ti�t�� ��,c�,S.:v� <br /> ��c��.�:�;_. <br /> STORIES: I SQ.FEET OF EACH FLOOR: CI� �"JlU <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> c� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� U� '� Q/1,uL.�e. <br /> r='/l.c�x�w�h"� <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 confonnance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit�ah3w�is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. � � .�y <br /> <_, <br /> �� "� <br /> APPLICANT'S SIGI�ATUR��� �,U.. .. C��� DATE: � -` -�'��`� <br /> `C�\ 31 <br />