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� �.o� <br /> � ql <br /> Total Fee: $ ���P - J� DateReceived: g"9'�7 <br /> Entered By: Permit#: i407932 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plec�se p�•int all i�zfo�•�nation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � 3�.j ���� S �D`� �1� ZIp; S�--s� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO If yes, a special eve�Tt pe�mit is requrred vvitlt Police Depar�tment rmd Cih�Council approval <br /> 60 drrys prior to the event. Slauttle bus se�vice wil!be required u�iless applicmzt demorzstrates <br /> sufficient on-site pcarking is avai[nble. Non permitted eve�7ts will not be allowecl. <br /> � c�� �. -�l - <br /> NAME OF OWNER: �i'C� r �� Rf�� PHONE: (h ne)� G f 7�' <br /> G (work) <br /> MAILING ADDRESS: 13�5 �o�r� SG�,d�p Q � CITY: ��-0�� ZIP:-�.s �� <br /> CONTRACTOR: /�'y r/1-"'��� PHONE: ��a ' �g J-33'� <br /> CONTACT PERSON: {j-,),� � `' J ��T MOBILE/PAGER:�jS�- 8 � 363/83sr <br /> MAILING ADDRESS:�3��3 C���;cQ t�- S`L CITY:S7L�S �.l't�{ ZIP: y� <br /> STATE LICENSE: # (-�� �j�y r EXPIRATION DATE: j/3//�oS� <br /> � ^ <br /> ARCHITECT/ENGINEER: ' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure� <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: �Q � � �� / �� <br /> �1� ` �}�y e cu' ��i j a-G�bl e- ,l�F i n A{.Lf Y r9 '(� <br /> STORIES: SQ.FEET OF EACH FLOOR:��4 <br /> NO. OF BEDR OMS: GARAGE STALLS: ATTACHED DETACHE <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �6 oDD <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: �� �G� DATE: O I <br /> 31 <br />