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�`' � �/ c S <br /> Total Fee: $ �(' 3 S � Date Received: �C 3/ <br /> Entered By: �'' � Permit#: �> � �_ <�� <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plecrse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �i,/v�le� (�, 1�� �n.� zTr: �33 � <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If yes, a special eve��t perfrzit is r�egz�ired ivith Police Depai•U�aent and Cidy Cozn�cil approval <br /> 60 ciays prior to the event. S/zuttle bus service will be regt�ired unless applicant demor�st��ates <br /> s�a�fficient on-site parking is available. Non-pern�ittecl events will not be allowed. <br /> NAME OF OWNER: �l�o�v2 Cc��,�,�>>,� PHONE: (home) �� �/?/-a5�6 <br /> (work) <br /> MAILINGADDRESS: N( IQ., �� L^��,�CITY: � ,,�v�`� ZIP: 5�331 <br /> CONTRACTOR: -�'�le�'�A.�,� ��� C,��'• PHONE: 7(0; ��� alO/ <br /> CONTACTPERSON: Lz,n��, ,J��o�,� MOBILE/PAGER (A��. 9�{� y��c� <br /> MAILING ADDRESS: ��p�{ /yl � L� /I)� CITY: �a,.,,, L,a.C� ZIP: 30�--L <br /> STATE LICENSE: # �I�'�3l��o l EXPIRATION DATE:_3-31-D� <br /> ARCHITECT/ENGINEER: �,w,e� �5 G�Jov�- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: ItEGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(descYibe i«detain:_�Q, G�;r-��or. l�c,s�,.c�e.,�. ,p�d �n�,�n,l <br /> •� r�e���:��v,.� ' ' �_ - <br /> , :.�,�.tt_ Cd�.���- t 1 s�t.-< � �,�� �I�—s �K+ ��� � <br /> eXis-�-i�� 9p��, � a s��,1 G � �,.51�,. a- y"�UL be�,.-..s. <br /> �'I'ORIES: SQ.FEE'I'O�'�ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALi,S: ATTACHED� I)ETACHED_ <br /> ESTIMATED CONSTRi1CTION VAL�JA�'ION(exciuding land): S ���,�_�� <br /> I hereby apply for a building pennit and I acknowledge that the infonnation 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: /�—/�—O� <br /> 31 <br />