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Building Permit Application i! l d Cc��y' �pV� <br /> _` <br /> GY I �(1 Y1,'a� <br /> DENIED � ���� � � - <br /> ,�,�,,,�,,,,,} ��s��� <br /> Reason(s) for denial:.����_ <br /> Vl C1ZSS a 4- � <br /> Total e: Date Received: "��� � <br /> ntere Permit#: �}-�i ���� <br /> Statf: ate: ' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ---� <br /> THE APPLICANT IS: (circle on WNER �2 CONTRACTOR <br /> JOB SITE ADDRESS: Z I �'� �1������ ��LZIP: �� Z 3 <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �o !f yes, a special event per�mit is reqz�ir•ed lvith Police Departmer�t and City Coarncil app�•oval <br /> I 60 days pria�to the event. Shuttle birs service wi!/be reqa�ired unless applicant demonstrates <br /> si fficient on-site parking is available. �Von-permitted events lvill not be allowed. <br /> NAME OF OWNER: ���L—/��/lZ-L-S/�z-s�-f PHONE: (home)"i`t'� 'aS � <br /> T :p�, � c," 5l�r{ a(workj(�(Z -�27Y1- �S'� S`_ <br /> MAILING ADDRESS: �� Wv�C � CITY: � �yZIP: 3 Z 3 <br /> CONTRACTOR: � � � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> NIAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> � Q�����p �� <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descj•ibe in cletuin: �j�G__� <br /> STORIES: `� SQ.FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: '— GARAGE STALLS: ATTACHED -- DETACHED— <br /> �� <br /> ESTINIATED CONSTRUCTION VALUATION(excluding land): � ��Do0 ' <br /> I hereby apply for a building permit and I acknow ge tl he i formation above is complete and accurate; <br /> that the work will be in conformance�vith t11 rdina e nd�des of the City and�vith the State Building <br /> Code;that[ understand this is not a pennit d���or i ot start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICAIVT'S SIGNATURE• DATE: � � � � � <br /> ;� <br />