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, � -�� <br /> ; J � � � , �� <br /> � ,,,� �� C� <br /> � Total Fee: $ � �I�J �� Date Received: <br /> Entered B : � , ,� �erirut#: 'J <br /> � y ���� , /C �O <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 CONTRACTOR <br /> JOB SITE ADDRESS: 3( � �� /U S h�D I� E j7R w�y 2 AT,�Ip� � r5 3 9/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No Ifyes, a special eventpermit 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 /> i i3a3 <br /> NAME OF OWNER: A L L F�/ /LI l/i!/S '�5/f/ PHONE: (home) �� 2.. �' <br /> (work) �/z ,si��3 D 3 <br /> MAILING ADDRESS: �(�� /1� .s�io�e� �CITY: �qZ Z� �,,Q ZIP: 5,3-3 9'/ <br /> CONTRACTOR: �4 G �.�..v � t�ti_s o ti PHONE: ( � �. Sr�� 3 � 3 <br /> CONTACT PERSON: i4 � ���ti,��� d��OBILE/PAGER: ( i 2 �l,� � � a � <br /> MAILING ADDRESS: 3l��� �s„q���R CITY: y��,.Z��,4 ZIP: ��3 9 t <br /> STATE LICENSE: #fa/aM 1: �w2i�.0 EXPIRATION DATE: <br /> �s �� S� l �3a3 <br /> Ac.G..6•�• � ✓.vs a .�, !SZ �s'3 63c o <br /> ARCHITECT/ENGINEER: u�`,? «G PHONE: �G 3 S�� x.,�o 0 <br /> MAILING ADDRESS: s.�",c .q���z!�- CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: �o u.v o.�r.o�v wA+-� s R c o r� �-aT.�-n <br /> L..9.�.v sc.�y7�,E�t�,� <br /> STORIES: Z SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ J� a 40, O�D �' <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: �� ��o � <br /> 31 <br />