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CA.,Q-Qe-•�. 9-�-o�' <br /> . ��p� <br /> ��� <br /> 5'0���� 1 '�,�� <br /> ,�; -i�r-C�S' <br /> Total Fee: $ Date Receive� <br /> Entered By: �,+1.� Permit#: , G�Dga`�� <br /> �-dd/,e.a-,�o� <br /> CITY O� ORONO - BUILDING PERMIT APPLICATION <br /> A❑ information must be submitted in full before plan review will bc started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cir�cle one) OWNER OR QONTRACTOI� <br /> .r._...--_---- <br /> �" '_ s l�k- ZIP: `�5 � i I <br /> JOB SITE ADDRESS: �5� � I��>�-,H H-,;�.c � � ` <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � lvo Lf��es, a special eve��rt pe�•mit is req�atired�vith Po/ice Department and City Cozmcil npproval <br /> 60 c/ays prior to the enent. Shzdtle ba�s service 1vilT be required ttnless applicani denzonstrates <br /> su f cient on-site parking is nvnilnble. Non-permitted events wil!not be allorved. <br /> NAME OF OWN�R: �TE�.�'� � ����ti'��%� �v,�ti'JG t/ PHONE: (home) `�`������ i� �7�7�7 5� <br /> (work) <br /> MAILING ADDRESS: S����Y y� CITY: ZIP: <br /> CONTRACTOR: �;> ; K. ���I-c=,�.-�-� ,; ,� .��: � PHONE: `j; _� - � a� � � !1� <br /> CONTACT PERSON: °r��q �r;s;�k�� � MOBILE/PAGER: �,- �'L - ��,�"7- la 5 A) <br /> MAILING ADDRESS: ���S'.>> �,-�,,��,��,��-�;�; �� �� CITY: 5����a�i:v�_T,�� ZIP: ��:-� s � <br /> STATE LICENSE: # � � 3'<, EXPIRATION DATE: �� a��- <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRF,SS: CITY: ZIP: <br /> NAME: 12EGISTI2ATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration .�' <br /> PROPOSED WORK(describe in cletain: �1:-�'�-��,E ��,D 1 ti C � �'L' - 1�,' �^Y'J`; 4 <br /> _� D£.�'��� � 1�% C X T�� �:_7 L�i���-F +�f' Sv` i ►.i Ei--S <br /> �'I'ORIES: � SQ.�'FET O�+'EACH FI,OOR: <br /> NO. OF BEDROOMS: `-! GARAG� STALLS: ATTACHEI) �'' DETACHED <br /> CSTIIVIATED CONSTRUCTION VAi,UA�'ION(excluding land): � J��3F C��� . '=�'% <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:;���.iiS c,�:.���� � DATE: � c�5� <br /> 31 <br />