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f / <br /> Total Fee: $ .��J� ��`� I3ateReceived: E�`t ''' �' <br /> Entered By: 'i ,���c��i�-;.;�;�i<-'�' Permit#: t� 1 '�(e���. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will bQ started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> -- -----�� <br /> THE APPLICANT IS: (circle one) O�VNER O CONTRACTOR <br /> JOB SITE ADDRESS: �S`l ��/�,'G �vc. �i"eno, /�L�, ZIP: <br /> Will this be a Pa�•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special event perrnit is reqz�ir•ed wilh Police Depn�•tment mzd City Council approval <br /> 60 davs przor to the event. Shtirttle btrs se�vice will be reqarir-ed unless applicant demonstrates <br /> sa ffr.cierrt on-site pa�-king is available. Non pei�mitted events will not be allo��ed. <br /> NAME OF OWNER: Q��Z _SrG�/ldK.'v,�. __ PHONE: (home) ��5�-ao� -65��- <br /> (work) <br /> MAILINGADDRESS: ,3SSK L�fr� ,��.�_ CITY: C.����,,<< ZIP: -S'S39/ <br /> CONTRACTOR: ��-��:�� �s���:�, PHONE: �i1-yi�-.5.��.S�� <br /> CONTACT PERSON: �<!c G/,•�s�� MOBILE/PAGER: _ <br /> MAILING ADDRESS: .S�°i1 y Y`��r -�,y«�- -S'�� CITY: /J�ik„�, ZIP: s..s3��-< <br /> STATE LICENSE: # �C-3 o y�/1357. EXPIRATION DATE: �-3%-�ao6, <br /> ARCHITECT/ENGINEER: ,�;�% l✓�'1�,, PHONE: �/d- g�4 s�ss _ <br /> MAILING ADDRESS: �ti�y ���f� S.;c�lp.t S� CITY: ,D�l�.,� ZIP: Ss3,��. <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New � Addition �C Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descr•ibe in detai�: j��, %f �pe�,..� �>;� s,�,�� � ,�/ ��,..z.� p,� _ _ <br /> ,o,� `<'��� S��z2�a.°rr �G�EcJ'� �[�S D��' �I-�. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, S��o,oU <br /> , <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 pemut;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE:=�`-�e'� �l./�_. DATE: S- y- ��'oS, <br /> 31 <br />