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Total Fee: $ � ��y� d� Date Received: �-7-d� <br /> Entered By: � Permit#: _ RD�377 <br /> CITY OF ORONO - BUILDING PERNIIT APPLIC�TION <br /> All information must be s�:>>.nitted in full before plan revie�ti-will be started. <br /> (���.�nse print all information) <br /> ------------------------------------------------------------------------ ---_�------------------ - <br /> THE APPLICANT IS: (circle one) OWNER O C01��TRACTOR <br /> , <br /> JOB SITE ADDRESS: � y�� �/I//�L��T'/?YtJ/��' I�� L�¢n/i� �w�LIP: 5 � 3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Displa�-Home? <br /> ❑ Yes �No If yes, a special event permit is reqt�ired with Police Department and City <br /> Council approva160 days prior to the event. Von permitted events will not <br /> be allowecl <br /> NAME OF OWNER: ST�(/� ���� 5�✓✓�y✓ T��� , PHO\E: (home)��5�-t/�73 --��7 rI <br /> , <br /> , . (work) <br /> MAILINGADDRESS:��9 }Vj��N1��/v�� �//(,rUG/1,(,�'jCITY: �/1p�c7, ZIP: s..g".3�� <br /> L!�NG <br /> •- � <br /> CONTRACTOR: �f�n� �i��121 F� f��yp�5 PHO��: y�,'� - y�;� --G1 �7 �$— <br /> CONTACT PERSON: � /�(rF-'n �, vi�C�'c�' MOBILE/PAGER: -��Sa - 270 --�'7SU � <br /> MAILING ADDRESS: ,�75' - I 5/' /-lc�ri �s��T CITY: �Ni4 l�o /�rli� ZIP: ,5"3 '1 y <br /> STATE LICENSE: # y�y( <br /> < <br /> _.._---- <br /> 0 �S(,(�-�vl�� �T�tG �zvs(e'$�S <br /> - . PHOti�E: ��- '� `�GI� � 2�S � <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIO� = <br /> TYPE OF WORK: New Accessory Structure �-- <br /> Addition Mo��e <br /> RemodeVAlteration �_ Land Alteration <br /> PROPOSED WORK(describe in detain: __p��p {Q W� +�1=�D ��/�/12� L C��iJ r� <br /> ZF v �� A� „/�2 r4��� - ,�� �o�.��t� ��✓J �wST�z-� rvl��✓ m -c,sl�� t ` � �Qvt�'�t-„�+ <br /> /�' E�OG✓�-7'� ,� �� �!q ���' - r���Sll� L L �i��v 1..C�r'w 1'JOG�J S . /-}�✓J j'-��J I� C o ��r r2 �r� ��,2C1� <br /> STORIES: �o��sn 4��;��.- SQ. FEET OF EACH FLOOR:��jYy }��T''� �'�7� i�' <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /a�; p o�a. c�t� <br /> I hereby apply for a building permit and I aclrnowledge that the information above is corr�lete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the Ciry and with the S�te Building Code; that I <br /> understand this is not a permit and work is not to start without a pernut;and that the work�-ill be in accordance wzth <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: D�TE: ��«'(,� <br />