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� / � � � �� � <br /> �,� <br /> � <br /> Total Fee: $ ��✓lo��� Date Received: �� � '� 7 <br /> Entered By: Permit#: (//y <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 O ONTRACTO \ <br /> JOB SITE ADDRESS: ab6� 6 T-� ��• �- ZIP: SS 3S � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ��NO If yes, a special event permit is reguired with Police Department and City 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 will not be allowed. <br /> NAMEOFOWNER: 7R►N�tY CVTFICRNN chvRG(-t PHONE: (hame) qS?• y�3 - $$» <br /> (work) <br /> MAILING ADDRESS: �b6O 6 � �. ^� CITY: t,v� c.,� tt� ZIP: S S3 S 6 <br /> CONTRACTOR: ::ONST 1�VG'7�UN RE„sv��r.r c�,,�p� PHONE: '�b3' S S� " ��00 <br /> CONTACT PERSON: �7p F{N SN Y�E� MOBILE/PAGER: bd a -d$d - 6 �t 6� <br /> MAILING ADDRESS: I �i I 70 a 3 - �9'✓- �'• CITY: _�LYN►ov11t ZIP: S `f�' <br /> STATE LICENSE: # a b� 14 &S$ EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: iRRY PHONE: q S� - S 4y-�9 y( <br /> MAILING ADDRESS: 7601 In.AY 2 AT A $C v�1 CITY: �n pt.r ZIP: s�4�6 <br /> NAME: �'���. Y U�/V G �t v i� REGISTRATION: # i 3 031 <br /> TYPE OF WORK: New Home Additio�r.__� Accessory Structure <br /> Move Home emodel/Alteration ie: Siding, Windows) <br /> Any earth movement may MCWD review and permits! <br /> PROPOSED WORK(describe in detain: � F)v R�M s'A�vCT vARY R e No�anuni; N-w <br /> wLNOiIW! ..T�'IVCCO FC`P/�It/e �. /V�W ID�:G(�(� (N�RI(IR +4�.1�"I�Ft�T�C C}.I,I�NG�f <br /> STORIES: � SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED � DETACHED -- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � �iq,�UU <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 wark will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �fd 8�07 <br /> 31 <br />