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. � / <br /> : �►' �;�^' S�b� �ec�a r rn <br /> ��a <br /> Sp c' C'►�e��-+ <br /> �'�om <br /> � <br /> Total Fee: $ // `�33. lo �v�3� ' Date Received: �� `%C�'� <br /> Entered By: e�/�-��c`� Permit#: �-f/-v�; <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 OR NTRACTOR <br /> � <br /> JOB SITE ADDRESS: oZ•f'y� NA�PTif�1'��E",D/1. ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO Ifyes, a special event permit!s reguired with Police Department and Ciry Counci!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: �r�.�( ,S; ;�e S PHONE: (home) _ <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��-r;:�e i.�::'.�� CJc° � � � �t rS�� . � PHONE: 5�1 Z �t� � ` G r S"�t <br /> CONTACT PERSON: K�c.r H c�{r-�:,� MOBILE/P GER: <br /> MAILING ADDRESS: 4 !Z`��zl,�. �J: ,�c CITY: F'���� � •""- ZIP: �.5� <br /> STATE LICENSE: # �d;s�;� Z EXPIRATION DATE: ,s' 1�� � ��:. <br /> ARCffiTECT/ENGINEER: C s f1 ;;;.�� (;rt�1,•,:- L-.,;,,�, PHONE: <br /> MAILING ADDRESS: �i;�Z ��,�� ,�,� t�.,. �,,,, . CITY: m.„„t E� ,1��, ZIP: ;.s r� � <br /> NAME: �,�t.- �,. i,�� „� •- ` REGISTRATION: # <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: 1�' ��= +-,m . <br /> STORIES: .1- SQ.FEET OF EACH FLOOR: tc.,- �,f�� n:�� L, �� ; ��� ` ►,�+�' - <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED �+ DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �,3v. v��� •• <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 and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. ,_....� , // <br /> ,,�- =- �� , '� -'' <br /> APPLICANT'S SIGNATURE: %' �- �--� �--�' DATE: ��' ` �J <br /> �' i <br /> 31 <br />