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<br /> Total Fee: $ �.� �o �,� Date Received: � 0 9
<br /> Entered By: Permit#: (`�j - 000 �
<br /> CITY OF ORONO - BUILDING PERMIT APPLICATION
<br /> All information must be submitted in full before plan review will be started.
<br /> (pleuse print a[l information)
<br /> ------------------------------------------------------------------------------------------------------------------------
<br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTOR�
<br /> JOB SITEADDRESS: � C,C: C� �'c.;c�, ��-,:��� �;�,�. �I ZIP: 553°1 �
<br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home?
<br /> ❑ Yes � NO If yes, a specia!evenl permit is reyuired with Police Department and City Coa�ncil approval
<br /> 60 days prior to the event. Sharttle bc�s servlce will be reqtrired t�nless applicant denronstrates
<br /> sufftcient on-site parking is available. .Non-permitted events wil!not be aUotived.
<br /> NAME OF OWNER: 1� p,.�. ��° _ PHONE: (home)(��j%���,�-�1 -(�Ul �
<br /> (work)
<br /> MAILING ADDRESS: �j� �� Z 3r::I �S IU CITY: ��)e:�. '�/orl2 ZIP: e�
<br /> CONTRACTOR: ���-t,,,��, ,,��;�,.�-I LL�_ PHONE: (�'i j Z� �`(7 - �S`i U
<br /> CONTACTPERSON: �,;;�.� C��.,51-��f=�e�� MOBILE/PAGER:
<br /> MAILING ADDRESS: ��Iv 7 �L.�.�_,2,.�E-r, RI���I, CITY: �iV�� �c ZIP: �)Fj'-{Z.tv
<br /> STATE LICENSE: # z�,.t�'��� 3;�; EXPIRATION DATE.
<br /> ARCHITECT/ENGINEER: �'I-,r��r�i.���- �s�o,.� �: CC�. LL�. PHONE: l�i J 2� y�v -�i 7i(�
<br /> MAILINGADDRESS: �-!�`-1 Sccc-�c� j�--t�z�l-3:n�k1�'��CITY: t_x��ls;o:' ZIP: SS�� i
<br /> NAME: ��,� `j�.��r��t I-F� REGISTRATION: # ;;'_ 3 (p f�o
<br /> TYPE OF WORK: New Home �� Addition Accessory Structure
<br /> Move Home Remodel/Alteration(i.e.: Siding, Windows)
<br /> � ;� . ; r 1��; �: i ,,, �11C'l�1'1> i�' ,, �, , , ,� �
<br /> �i + �;��1'l ,lr�.t�l il a /i;r�t� � 'l t;''� i ,i'� � r,'.r�! , �';��;�ll.
<br /> PROPOSED WORK(describe in detai�: �r�n.�u v� c>I�L. 1��-:�ire e,��l ��r���1c I-r�.c.l,�,.�
<br /> ��� `/�t�.J �w'�"n'�z- 1:����, �2�—c����ZC1 ��'��0.�
<br /> � �
<br /> STORIES: ; SQ.FEET OF EACH FLOOR �;���;�� ���=i �ri� � �. ��r- C�S�-.
<br /> NO. OF BEDROOMS: _� GARAGE STALLS: ATTACHED_� DE ACHED�?
<br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��, y�t�, pDU
<br /> ��_
<br /> I hereby apply for a building permit and I acknowled at the information above is complete and accurate;
<br /> that the work will be in conformance with the o 'nances and codes of the City and with the State Building
<br /> Code;that I understand this is not a permit a �,work is not to start without a permit;and that the work will be
<br /> in accordance with the approved plan. �`�,�'
<br /> �.`l
<br /> APPLICANT'S SIGNATURE: llATE: I� Z 1� a�
<br /> 9 j
<br /> / :
<br /> 31
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