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, • C�'"� <br /> �,as,o� <br /> Total Fee: $ J�o� 4,� Date Received: 8 �-� D,� <br /> Entered By: Permit#: f}/Da,[� <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 ADDRESS: 203 Z S h��u,��. �t� ZIP: $","34� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events wi[I not be allowed <br /> � (C,ell� �,1�—�� —O.S/�j <br /> NAME OF OWNER: Tim s 5he�i^i �y�f ei-��,r PHONE: (home)y5 z y�o-'�/�/ <br /> (work) kS�-y��-83'�3 <br /> MAILINGADDRESS: 20�� '�h�d��;1 �Gbc� `�1CITY: Orpnv ZIP: SS31� <br /> CONTRACTOR: S ecz Ir�3 n's Co n,g�i^vc�;� PHONE:gS�- y�H-31�5'D <br /> CONTACT PERSON: Pie�,. S�,�a,,,•s MOBILE/PAGER: �/Z, — �io-/o99 <br /> MAILING ADDRESS: ]$' �Ip���an'�' }� ✓�. y CITY: 7-a„ka, ��,r Zjp; "5 5;�:�1 <br /> STATE LICENSE: # ,�y � 'Z_, EXPIRATION DATE�,3/�-, <br /> ARCHITECT/ENGINEER: _�I /�� PHONE: <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�: (Z,Q-Yy,n�,� b r�'c K G h ;►,-�n eu '� ��'��e(����c <br /> 1°'e P�a�,p c,.,. i'�►� c..�o�d c a.-� S f rv a�i e►�► � � S e e� i���G h <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��C�O <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATTACHED DETACHED� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �0, O(��.p n <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 /> p�' <br /> APPLICANT'S SIGNATURE: 1�f ' ,�. DATE: /�1� �� !o <br /> � <br /> 31 <br />