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��� <br /> Total Fee: $ �'�� � Date Received: 8- `�-O � <br /> Entereu�By: J�� 1� Permit#: AD7795 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�at all i�iforn:atio�i) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� �'7� �ci�(E�I �0�4� ZIP: 5�3�I <br /> Will this be a Parade of Homes, Remodelers Sliowcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event perinit is reqi�ired with Police DepaJ•tna.ent af�.d City <br /> Couyicil appiroval 60 days pYior to the event. Non perrnittecl evefats will not <br /> be allowed. <br /> NAME OF OWNER: ��-�phan �2� Covlst. PHONE: (home) �a �,?-� <br /> n (wo k) <br /> MAILING ADDRESS: �775 �'o. �d• �o� CITY: , jF �a;� ZIP: 5535J� <br /> CONTRACTOR: �j-(�-�pl�r� ��5 PHONE: �� - 3�a -�/�'9 <br /> CONTACT PERSON: CI-�,r;s MOBILE/PAGER: <br /> MAILING ADDRESS: Sa,,�Q �S ,4F��,=_ CITY: ZIP: <br /> STATE LICENSE: # aG0�3ii�. <br /> ARCHITECT/ENGINEER: �t= P �(�n�,; S�e�;qn PHONE: 7(3- 7�0 -$00� <br /> MAILING ADDRESS: ��-��ITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe ilz detai�: t-;n;5h �e,�-��t� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ a0 /-� <br /> I hereby apply for a building permit and I aclmowledge that the infortnation above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � G <br />