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i <br /> Total Fee: $ �� 9� ' Z� Date Received: ��Z � <br /> Entered By: l�-D Permit#: ��7�'3 � <br /> Ly�-,s� �"I zt� <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 inforf�iation) <br /> _._� <br /> -------------------------------------------------------------------------------------�---------------� --- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR T <br /> JOB SITE ADDRESS: =-� =L-=� �i�,�-�-,-� ��J� ����+J� � ZIP: �=,� �`1 � <br /> Will this be a Pai•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event per�nit is r•eqc�ired with Police Deparh��ent and Cih�Cotrncil approval <br /> 60 dm�s prior to the event. Shutt/e b�rs service wil!be reqc�ired unless applicant de�rtonstrates <br /> su�cient on-site pa�•king is availab/e. Non permitted evenls will not be allowed. <br /> NAME OF OWNER: 1�J+L-c- �u z-�.�'\. PHONE: (home) <br /> •�C; ?=� .. . (work) <br /> MAILINGADDRESS: �(�-t-1-�+ S�a-� Pr2/v"pL CITY: (/f�,-.�; ZIP: -�� =3"�1 <br /> � <br /> CONTRACTOR: �t.ru � � ��'a ,i� ��� - PHONE: ��`�L �°'1/- 7L-�� �/`G� <br /> CONTACT PERSON: c�,.-�, ,: ��,� MOBILE/PAGER: � �� - ;�..�.: - (�-�t� <br /> MAILINGADDRESS: ;>�/ l,C� z, � � '� CITY: � � � �- �_- ,�� � ZIP: �� �Z <br /> STATE LICENSE: # Z��� EXPIRATION DATE: �� � �=� <br /> ARCHITECT/ENGINEER: v� ,��,.s, � - u � PHONE: `��2 -�;3/- %� <br /> MAILING ADDRESS: �:���-,✓ �', -� • r t� CITY: �r-��:.._; � ZIP: ���� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration ✓" <br /> ) ) <br /> P OPOSED WORK(descr'be in detain: � l - I1���; �+�:� 1'?,�-7��- �G+nY-�-'i)�-� <br /> ��L- ��c�Ji��/��.s� <br /> STORIES: �1.� SQ.FEET OF EACH FLOOR: �� � `j '-� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �g�, � 7 L �'"z <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 npt tart without a permit;and that the work will be <br /> in accordance with the approved plan. j` <br /> APPLICANT'S SIGNATURE: �' � � DATE: �', �� C`�/ <br /> , " <br /> ` , <br /> 31 <br />