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. .� <br /> Tota(Fee: $ DateReceived: � ���� ��� <br /> Entered By: Permit#: J�-� ,�j <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br />+. JOB SITE ADDRESS: � ���� �S� �a//l� � �I ZIP: S S ��(jL� <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 Departnzent and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: ��✓�/ Y� �'' c�o�r y PHONE: (home) <br /> � �-c� S� t�. (work) <br /> MAILINGADDRESS: 3�o,s �I��,, ����ITY: ZIP: S'S�/ <br /> CONTRACTOR La�.c.Cc►�,n�yy ������c.rS�1 �• PHONE: �'�,�-Z • �—("y����, I <br /> CONTACT PERSON: MOBILE/PAGER: (��'�. 6 0, p�y� <br /> MAILING ADDRESS: _33 q �," S�c-cc CITY: �'xc.e�5,a�r ZIP: �►1 ✓v <br /> STATE LICENSE: # �.- �a� y�i�7 q EXPIRATION DATE: �,(,� ��� <br /> ARCHITECT/ENGINEER: 1�,�,�� �.,,�;��, PHONE: (o I� •3 L p. �I I�S <br /> MAILING ADDRESS: � ,� �� CITY: ZIP: <br /> NAME: � REGISTRATION: # <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(describe in detai�: a <br /> W h..e.. a.t�2� n��v l.�.�l.c,c�.� . <br /> 4 <br /> STORIES: � ��FE��OF EAeCH FLOOR:L..L. = I ��1� m.L, = I y S7 / U.L,yZ�O�s3 <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED DETACHED <br /> �- \ -fv�v�c 3.���.vrsm <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> ,,� OU D <br /> I hereby apply for a building permit and I acknowledge that the information above is compleCe 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: DATE: o�� ��� <br /> ��`� : � lZ - �60 . o��� <br /> 31 <br />