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� � �� �a IS" -- os <br /> . . . <br /> (��CC�.v,�i Sf}"� <br /> . <br /> t <br /> Total Fee: $ /D 9 Date Received: �- CJ� <br /> Entered By: Permit#: ;'�G� �y�/�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> Uilease print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: o� �� S �M.4.��e�-�C�� e �,.,a�,�, ZIP: <br /> Will this be�arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes NO If yes, a special event permit is requirecl with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wzll be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non perrnitted events will not be allowed. <br /> NAME OF OWNER: � y�. `-a�..�. �h.v�Z��.e�.��'S, 4C�pHONE: (-�e�e) <br /> 8� S � ��ea� t� (wark) �ta-g�3 - a��? <br /> MAILING ADDRESS: 1..�o����.� �A�c.ou� CITY:�c�eti 'C"'�o„�4i�e ZIP: S,S3 Y 7 <br /> CONTRACTOR: ��� `.e � ti. rn�, 1��`c���S �c. PHONE: gsa-9Y31 Xaa � <br /> CONTACT PERSON: S'�eV� ILE/ AGER; C� l a- 80!-o S2� � <br /> MAILING ADDRESS: �j�o 1 ��-r.s�'o�-. `��ac-e CITY:�.e�.. 2�,-c����ZIP: S.S3�7 <br /> STATE LICENSE: # a,.� (a �, EXPIRATION DATE: �- 3( - o � <br /> ARCHITECT/ENGINEER: �1 f lA 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 detail�: �,�-ew 5��,�.e �c��,,,,.�.�, , �.,����. c,�� <br /> Y �-��c�e�c�e G.� l�� S W��n�.w.��:c, �a o � <br /> STORIES: � SQ.FEET OF EACH FLOOR: a�1 8'0 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 �. o o vo , �— <br /> I hereby apply for a building permit and I acknowledge that the information abov is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the C' 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- � .� <br /> 31 <br />