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�-7 `� �ST� ,���� <br /> Total Fee: $ � r �C�l`"� DateReceived: ����� � � <br /> Entered By: E7 � Permit#: � _ i � <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: �1��L� S�/�,���� �,,+c�cil� ,� I� ZIP: ��-`� SS�7� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO !f yes, a special event per�mit is required with Police Department and City Council approval <br /> 60 days p��ior to the event. Shuttle bus ser�vice will be r•eqi�ired i�nless applicant demonstr•ates <br /> sufftcient on-site par�king is available. Non-per�nitted events will not be allowed. <br /> NAME OF OWNER: �C-C'o f�- �- l�t'� �� lJ�FC L PHONE: (l�e neSS `15�-�1?-G -11��O <br /> ( �"�� �s�- �/��r-i.�2 y U <br /> MAILINGADDRESS: ���'� 51�������'� ��/� CITY: �✓��'���!� ZIP: 5535 / <br /> CONTRACTOR G(,✓�vP,Z PHONE: `�SZ-- �i2G-9ZG G <br /> CONTACT PERSON: Scas�t Uc��ii MOBILE/PAGER; c��/� - 5`i�- �i�,S� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER OG�ti���Z 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 /> PROPOSEDWORK(describeindetain: ����,r�c;� C�XrS����i /J��i� /� ",�Fz�-'� .>'�'��� �'� <br /> ,�!"��e ���P� y�Jct�ie ( �1v�;5 cj�' F/ �s�u;,.�,) �nc�� i2ralGcr £�'is�����, />0�>,�5 <br /> � .j , v�ndcus ( 7e��i� t � J/ti55 /rs i -��-;� ��,�� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ f 5� GjnO �s�� <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 pennit;and that the work will be <br /> in accordance with the approved plan. � ' <br /> APPLICANT'S SIGNATURE: `-'�7%/'�� � DATE: <br /> 31 <br />