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� �� <br /> Total Fee: $ ��� Date Received: �� ��'������ ' <br /> Entered By: ���,j,�1�y�� Permit#: `/�"Cj - .'�' <br /> U <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 infor�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: t �1 i� S�wv�Q��� �2 f "L ZIP: 5���( � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ No If yes, a specinl event perrnit is r•eqzrirec�i�vith Police Department and City Council a�pr•oval <br /> GO c�ays prior to the event. Shuttle bars service will be requirect zrn[ess applicant demonstrates <br /> szrff cie��t on-site parking is available. Non-per��litted events 1vi/1 not be allowed. <br /> NAME OF OWNER: 1�`� ���� �1 s �e � �r��� PHONE: (home)�S�-�f�.s��S3 <br /> (work)�iS� -5°�6 !'�6 Z <br /> MAILINGADDRESS: ( y�Cl ��'l��'�'Q��� �. CITY:��v ZIP: 553 / <br /> CONTRACTOR:���� ���� PHONE:�� - o��l� �s3�s <br /> CONTACT PERSON: .���-� r�'�'r MOBILE/PAGER: c5l 2 �s�7-/339 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: �I t�� PHONE:��� ��6 -176 2 <br /> MAILING DRES�S: l�/`'7( ���J��, i�ne '��L CITY:�+{�iyLQ� ZIP:����1 � <br /> NAME: << �Jl �-� r��✓ REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �_ <br /> Any earth movem t may require MCWD review and permits ! <br /> P�OPOSED WORK(describe in �letain: R?�p�4 � //������ o1,t C�(�6���t p�`�d tl��t <br /> J�c l� <br /> STORIES: �- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � 1.� CDC� <br /> I hereby apply for a building permit and I c�lr�wledge that the information above is complete and accurate; <br /> that the work will be in conformance wit�the -dinances and codes of the City and with the State Building <br /> Code;that I understand this is not a peri�nt and �o�� is not � rt�v' Zout a perm'tt;and that the work�vill be <br /> in accordance with the approved plan. � <br /> . � <br /> APPLICANT'S SIGNATURE: DATE: � � U� <br /> 31 <br />