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� <br /> Total Fee: $ /. 05�. SJ� DateReceived: �2 3"'�d <br /> Entered By: � Permit#: <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 CONTRACTOR <br /> JOB SITE ADDRES5: �D !S� �tL� L��]` �p; S-S 3 j � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,��TO If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demorrstrates <br /> su�cient on-site parking is available. Non permitted events will not be aldowed. <br /> NAME OF OWNER: ��U L �jL�L�AyUS 7G l PHONE: (home)�S2�a J-�� <br /> � (work)- <br /> MAILING ADDRESS: ���S �L��-j L� CI'TY: �D�vv ZIP: S�/ <br /> CONTRACTOR: G!/dr9r� /�i��t�z PHONE: C�o/Z���S=�/O�� <br /> CONTACTPERSON: �l��/{-� �c.C�° MOBILE/PAGER: Co1.�-k�S/o��'r <br /> MAILING ADDRESS: �,�� ,-��1��i�d�-t,�. Llk�-� CITY: �N�SS�LIP: �� <br /> STATE LICENSE: # Zc�o3�7�3 EXPIRATION DATE: 0 3- �7 <br /> ARCHITECT/ENGINEER: C!/I LL I/t""� ���"RQ-d l�PHONE: G�Z-g!s/-p 7 70 <br /> MAILINGADDRESS: (c�13� �i/r'r4-�l�/�Svi'��✓ SCITY: �/c�.F-�iLlid ZIp; �3 <br /> NAME: /�/L(, ,/�jU}rvG6�,kjt,� 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�: Tv�lv vy°57���5 G[,d�i-7° /�vap 3�y ,(y',�7�- <br /> t�i.vr�rt A�2C.,4- U13vv� co^-,2�a�� - S rg,2,a.��� 72�55�S <br /> STORIES: 3 SQ.FEET OF EACH FLOOR: l2� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> / <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $�f�� `��, <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: ✓� DATE: `�+� ����� <br /> 31 <br />