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� , . <br /> �� <br /> ! / � <br /> Total Fee: �, � vb Date Received• <br /> Entered By: 1� Permit#: _Q Q <br /> I�'l �,� 8'� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a//infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circ%one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: Z4 55' S NA�ti wcx� 2v,�1� zir: �S3� Z <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �NO I/�yes,a specia/erent permij is reqirir•ed irith Po/ice Departmenl nnd City C'otrncil approra/ <br /> 60 days prior lo the ereni. Shirttle bi�s serrice irill be i•eyuired irnless applican�dentonstrule.t� <br /> sr�fficient on-si�e parking is m•ailable. .�"on-pernli�ted erenls iri/I not be al/oi��ed. <br /> NAME OF OWNER: �R�C. ErJ�LvrJ�� AQ,S PHONE: (home) <br /> (work)`Z S2^ '1'�!— g Z D� <br /> MAILING ADDRESS: `c��¢S'�' SNM�I� R� CITY: ►J gVAe�Q @ ZIP: �'v� <br /> CONTRACTOR: Kne k�l� f�LY,I PHONE: �L�9Z2-S"�S`�lZ <br /> CONTACT PERSON: �d�Clt Srv,,,Gl,�l� MOBILE/PAGER: `3�Z- 7q7-Z�9� <br /> MAILING ADDRESS: �gp ('ydp`[,4M ��J. CITY: Sr.Cars Pk ZIP: ss�aa h <br /> STATELICENSE: # ]QjZ � EXPIRATIONDATE: 3�3/�DS <br /> ARCHITECT/ENGINEER: ��p SGNVLTN FtS PHONE: (pS1� �3'Ci9��j <br /> MAILING ADDRESS: S395 CA2LSC�N R� CITY: S<k�2 VI�J ZIP: �(o <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(clescribe in detuin: �E�n�( FX IST/�1G ��nTAL OFFKE <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ /��}(o ^ <br /> t hereby apply for a building permit and 1 acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe 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: Z d� <br /> 3l <br />