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• �, �� <br /> Il `� � �J <br /> � � R.-' '' <br /> �Total Fee: $ �� � '` f'.• �%� �r� ��J Date Received: � A�3' )O <br /> �/� ��. <br /> Entered By: �% Permit#: �J D_��'f lo <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 O CONTRACTOR <br /> JOB SITE ADDRESS: a��s m�Pl e��c�� e C,.a.�- � ZIP: <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO !f yes, a special event permit is required 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:o�,,, ��� , ��„�1so� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> � <br /> CONTRACTOR: ��-����,,, L��K�,��.� `�������..� t��.� PHONE: �Sa - �y3- �aa � <br /> CONTACT PERSON: S�I-e v c MOBILE/�PAGE�2: G l� - �a/- a�a L <br /> MAILINGADDRESS: G1�-{d1 Q�-�S}o.�, `�l�c� CITY: 1=-c-�e..� � ��,.�'< ZIP: .�S3�1� <br /> STATE I.I�ENSE: # a. �1� � EXPIRATION DATE: 3- 3/ - b 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�: �-�� a��r �, 3 5-�c��� c�ur x o -� <br /> STORIES: � SQ.FEET OF EACH FLOOR: �S� <br /> NO. OF BEDROOMS: U GARAGE STALLS: ATTACHED DETACHED 3 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ lSG � o o n <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 a ' not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �U � � - a � <br /> ��S <br /> 31 <br />