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1 � <br /> n (�,��� �,� <br /> Total Fee: $ � � 1 DateReceived: �i"���( Z-����' <br /> Entered By:� ^,� � Permit#: �- %L�_��'�1 <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: (ci�•cle o�ie) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: loZ-s S!��ll2G �/GL. �D. ZIP: SS 3� � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a specinl event perniit is reqaiir•ed ivith Police Department and City Council approval <br /> 60 cla}�s prror�to the event. Shzrttle bzrs se�-vice will be regzrired arnless applicant de��zonstr•ates <br /> sa ffieient on-site pa��king is available. NoJz-pernzitted events lvill not be allotived. <br /> NAMEOFOWNER: y�(�/�/ ����YJ�'' PHONE: (home) SZ.��r��LD91 <br /> (work) G/Z- 3�17 D!Sy � <br /> MAILING ADDRESS: l/�y Cjp.�/� �/G� JZ1� CITY: �B/I. ZIP: • 5� 39� <br /> "� <br /> CONTRACTOR: ���/?�7/,�C f�U/���-S PHONE: �/� �S� 03g� <br /> CONTACTPERSON: jco tf"' JL,C�'O�'I'�C MOBILE/PAGER: <br /> MAILING ADDRESS: //.3�9'F��,r-�y� �D. w. CITY: /?77'��l ZIP: S�S <br /> STATE LICENSE: # z0 S3 7G.v3 EXPIRATION DATE: 3 3���7 <br /> ARCHITECT/ENGINEER: 5�k/,9TLZA-r'T n��/L/J PHONE: 9SL�170 -8�/�7 <br /> MAILING ADDRESS: y!�/ Z njD�7' CITY: ��«�S/0�-- ZIP: 5533� <br /> NAME: REGISTRATION: # <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(descrihe in detain: ��w OF�iC�'�C'�?>"�% AnAr/'/Ol'I,�SSo sF� <br /> /�Ew ,�o���- /a�i�io�l l/7o sF > <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEI) DE�'ACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �ZS�f�Oc`� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accw�ate; <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 work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � /�T O <br /> 31 <br />