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1 / � <br /> Total Fee: $ � �Zz ' �n`? Date Received: 3-3 "�� <br /> ' Entered By: __/.(� Permit#: �(11°�(2�( <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 CONTRACTOR �AY�r-(,� I lZ;�/�" <br /> JOB SITE ADDRESS: 2 6 8 3 /1/d jL�'3t s(fv!?.� D�?�(/� ZIP: S S 3 q / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO If 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: DY/f�NGs i9 n�0 ll�G�( L!/�/� PHONE: (home) `�S 2 9 3� 76�D <br /> (work) 6!2 7 4 6 ¢0 3 9 <br /> MAILINGADDRESS: /S 3�s M�9so�vs Pb��✓TS CITY: ���N Pi2�lR-« ZIP: 55347- L4!$ <br /> CONTRACTOR: $�vwd� prSl6Nr3✓�G� PHONE: qS2 �}7� ps'S4 <br /> CONTACT PERSON: 5v���vsr�Fs��v MOBILE/PAGER: 6!2 2 6� 7�70 <br /> MAILING ADDRESS: 4�1-Zo Skoa�cu^'� �R. CITY: S/��✓G Pq-�k— ZIP: Ss38`f <br /> STATE LICENSE: # 2 0 33 o S�'2. EXPIRATION DATE: 3-3 I-D!o <br /> ARCHITECT/ENGINEER: ��i416G�'A7'1�6 6�o�r" PHONE: 6l2 246 757,g' <br /> MAILINGADDRESS: 20/2/�✓O/q-n/,e0_ !,�/, CITY: MMT7�f} ZIP: S53pS <br /> NAME: pt�-i E3/v�c u,cc REGISTRATION: # (,v�' • <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) K <br /> PROPOSED WORK(describe in detai�: �ovc «iM�.�.f Rt�u�-ct=��.�WS .�cn�oo� <br /> i���.y,'L c�.-�z- �✓�rrz��:,�✓ <br /> STORIES: 2- SQ.FEET OF EACH FLOOR: �R U���^�4� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTAC ED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /7$'�c�o <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 /> APPLICANT'S SIGNATURE: .,- DATE: � '/!?�'�Gi� -O,� <br /> 31 <br />