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. . • <br /> Total Fee: $ g'S��•`:rJ Date Received: ?-2� -D� <br /> Entered By: y Permit#: ,qo��a 3 <br /> op��, <br /> r;,�' CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> v� <br /> \�\v\ All information must be submitted in full before plan review will be started. <br /> �, <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 4 a 4-i �o �T K Sµa�� D �� V E ZIP: 5 � 3 6 �- <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 <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER �/�L[, �. 5�1 �� 1-E�{ M�CU�.��PHONE: (home)��Z--4--72�- 4!��3 <br /> (work) <br /> MAILING ADDRESS: 4��4-1 (�, 5�1�� (�� p P., CITY:�(� Q t� ZIP: 5 ��-` ��, b � <br /> MOU f"1!liL1 �JCr- ,r� Dp/L.�'S� <br /> CONTRACTOR: 0 V�/I�j��'�. PHONE: � 5 2- �}-�l L - �6 '�,3 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: —'f PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeVAlteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: S �� n'i'TA�M M��.I TS <br /> c�nl��V�11TK 4�/� L►�t,� �� T C�Pt 5�M=�.,'�i <br /> STORIES: V' SQ. FEET OF EACH FLOOR: �� � (1 <br /> NO. OF BEDROOMS: Z. GARAGE STALLS: ATT. O DET. `}- <br /> t � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ���C7 <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codEs of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> i�- <br /> APPLICANT'S SIGNATURE� � `` � DATE: 47 Z c� c��- <br />