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���J�"`""' <br /> • ��o"°g <br /> Total Fee: $ �(p'7 S f Date Received: /`°�g 09 <br /> Entered By: Permit#: �00 9—ODOo� <br /> � <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: aS-S� ' E��h/�� /V� ZIP: SS 3 5� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required 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 /> NAME OF OWNER: �D'�-T ESS �t C-� PHONE: (home) `j'SZ- N S Y- �.7 9n <br /> MAILING ADDRESS: oZS`'��,6�h,,���- (�'�'ork) <br /> CITY: O 12o N o ZIP: S 535� <br /> CONTRACTOR: �v��w�t; a� ry PHONE: 7�3 '7�3 "5 a q S� <br /> CONTACT PERSON: S1`t�►-c.- �,v�c w , MOBILE/PAGER: (o�2-2.oq�-�15f y <br /> MAILING ADDRESS: 13 7 So �'v'ozy�...�.� �+vc CITY: �Q r��'0 vri.. ZIP: S 5 3o y <br /> STATE LICENSE: # (�S15� EXPIRATION DATE: "3-31,0`� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: --- REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Re de /Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �t �. �s t�L �--o w s-� t..�vL.� <br /> STORIES: �- SQ.FEET OF EACH FLOOR: /Soo -����o� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED k DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� G'r�O e`� <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 ardinances 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 wit�e�[p ;and that the work will be <br /> in accordance with the approved plan. -� <br /> APPLICANT'S SIGNATURE: DATE: �'ZF��9 <br /> 31 <br />