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C.�r' <br /> . � �,�.p� <br />� Total Fee: $ a�O�OT. a8 DateReceived: /����-��1 <br />� Entered By:�� Permit#: �()�7(7 <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 /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: � 2S OSc F��2� � ZIP: ..�s 3`'� t <br /> �Vill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO /fyes, a special event permit is required with Police Department and City Council approval <br /> 60 davs prior to the event. Shuttle bus service will be required unless appliccrnt demonstrates <br /> szrfficient on-site parking is available. Non-permitted events will not be allowed. <br /> A�� <br /> NA1�1E OF OWNER: Sctf bti,q2 7Z M,4,✓ �"�¢�PHONE: (home)`!�L-�•y�r- y��� <br /> (work)763 -1t2(-11P7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 5 i�'i�� � (c.�oPp�L�wr4�✓ PHONE: 9�2- �j73- SS3S" <br /> COI�TTACTPERSON: ZV! C.�"'sl3oV� cy MOBILE/PAGER: (o'f2--s�- 7°ia� <br /> MAILING ADDRESS: I83h o � r,.�✓�7'�.-.r� �cvCITY: t✓,g Y2/�'7� ZIP: 5`�3�t I <br /> STATE LICEI�TSE: # 3 72 ! EXPIRATION DATE: 3--3 /- o� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> � NA�VIE: REGISTRA.�'���LIN: # <br /> T'YPE OF WORK: New Addition ✓ Accessory Structure <br /> Move Home Remodel/Alterati�n �/ <br /> PROPOSED WORK(describe in detai�: �4,0���,< ..� p� �7 N �f e-c.oFt 7 <br /> � �N?'�'.�c.o� �} L't.!'-�{���3. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. Or BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �STINIATED CONSTRUCTION VALUATION(excluding land): $ 200 ooa- '� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that tl�e work will be u�conformance with the ordinances aild codes of the City and with thc 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: DAT�: 1 O -�f�'--�'I <br /> 3l <br />