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, <br /> C <br /> Total Fee: $ �l� 3� , Z DateReceived:_ L 2/�7 <br /> E n t e r e d E y: � �) y w��i ��`� t e r m i t#: ' � `7 � <br /> -� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> __ ____ __---- -- <br /> --- — _--------__ <br /> ----- ---------�_ --_—- <br /> (please pt�int all informatro�i) ____ _ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACT,O� <br /> �� <br /> JOB SIT�ADDRESS: 7vo Co D G1Z-J /� # �o,/ ��`` ZIP: ,S-� �S� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � PTO If yes, a specia/evef�t perrazit is r•eqa�ired tivith Polrce Deparh��aent anc�Crty Council approval <br /> 60 days prior•to the event. Sharttle ba�s service lvill be rega�if•ed trnless applicant deir:nnstr•ates <br /> sufficient on-site parkr�zg is avnilable. A�or�-permittecl events will not be allowecl. <br /> NAME OF OWNER: G��S I�—°.S� � PHONE: (home) <br /> (work) 7�3 -390�- 3z�O <br /> MAILING ADDRESS: 3b�o v Lt� 2J � CITY: D fa n U ZIP: �S 3 S- C� <br /> CONTRACTOR: (JC>I�vvYw'r�- l�5 ���� PHONE: 7Co3 • L2Z- y 3 �� �..- <br /> CONTACT PERSON: /krr YIt2�5u� MOBILE/PAGER: ��6 <br /> MAILING ADDRESS:3900 (I�UG.S bYrc, � CITY: pl yry1�✓� ZIP: .�sN� 7 <br /> STATE LICENSE: # T�S��7 �f Z EXPIRATION DATE: t a �S <br /> ARCHITECT/ENGIN�ER: �L�'��� �s� f��'� • PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: R�GISTRATION: # <br /> �'�'PE OF WORK: New Home Addition Accessory Structure. <br /> Move Home Remodel/Alteratioil (ie: Sidi�lg, Windows) X <br /> Any earth movement may require MCWD review and permits ! <br /> PIZOPOSED WORI�(describe in detrrin: �� Eg r c�,s �,i1,n d ew � �'�c�ss <br /> l�o�� � F��� L!u u �r4-b��i_ � C � <br /> � <br /> ST'ORIES: Z SQ.FEET O�'EACH FL,OOR: 3 rv o ,�� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: A'I'TAC�IED� I)ETACHED_ <br /> ES�'IMA'i'ED�'ONS'�"�2UC'TION VALUA'TIOIv(exclucling land): � g�� � <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 Cit}� and with the State Building <br /> Code;that [understand this is not a permit and�a-ork is not to stlrt without a permit;and that the��,-ork will be <br /> in accordance ���ith the aprroved plan. <br /> APPLYCAIVT`S S�GNA'TUYiE: ��7C�,: 2I z/ 67 <br /> ✓ <br /> 31 <br />