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. <br /> �"' � <br /> , <br /> Totat Fee: $ DateReceived: -Z � <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 /> THE APPLICAIYT I�H�tirc[e on ) OWNER OR CONTRACTOR <br /> _,�„�,�., �ery,�rt 3�SD s .oti 1114✓�vr�. <br /> ' JOB SITE ADDRESS: �� ��h ,�1�'� ZIP: -�s,3 �� <br /> Will this be a Para e of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes �o If yes,a special event permit is reguired wilh Police Department and Crty Council approval <br /> 60 days prior to the event. Shuttle ba�.s service will be required ainless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be a/lowed. <br /> NAME OF OWNER: ��'� y ��l-C'�� 5� PHONE: (home)�',S"a - �/ JO- `l'y�/ <br /> (work) <br /> MAILING ADDRESS: p�Q, Q�� 3L CITY: Q l d��,v re_ ZIP: �� <br /> CONTRACTOR: ca•t,� S s,� � PHONE: 6�,� - �b� -.?3�� <br /> CONTACT PERSON: � . 'tMOBILE/PAGER: G/,,.� • �a 3 ��2 S1l <br /> MA.ILING ADDRF.SS: � fl, ����,� CITY: /'�4.vti,�y�-�ZIP: S,5'35.� <br /> STATE LICENSE: # EXPIRATION DATE: <br /> � ARCHITECT/ENGINEER: o ,. ,+ � PHONE: 6J�� ��7-� �.376 <br /> MAILING ADD SS: oZ � CITY: - �v ZIP: � J�+vZ <br /> NAME: .S �r - REGISTRATION: # L����_ <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�: /r�e l,!/ �!/�'G .5 .�/G��" �,�r . O c.� . � <br /> w�/� : h� ,� <br /> STORIES:�_ SQ.FEET OF EACH FLOOR: oZ dO0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTI4N VALUATION(excluding land): $ `��,, l�D� <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 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: '-�� ' 0?6" �, <br /> 31 <br />