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� C �io� <br /> � �oli <br /> Total Fee: � / �, C� � Date Received• �d/� 7/1S <br /> Entered By: Permit#• ��$�"— �,� <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> , <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 CONTRACTOR <br /> JOB SITE ADDRESS: 113� �P���.tL 1�-�Jc� ���,� � ZIP: _ ����?-', C,� <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 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 /> NAME OF OWNER: ���?, 'FL c.lr�r�-r�.� PHONE: (home) �1 SZ y�? �Z2f�y <br /> � <br /> ,�, (work) <br /> MAILING ADDRESS: 113� �S�,��N�- �iz-� �r CITY: ���•�,� ZIP: 1=,S'�.SL <br /> CONTRACTOR: ��Io-=,�'�L�.� C��.t�-r�ac�-��ti Cy�: PHONE: �L�� z-lLI�I-S`�� 3 <br /> CONTACT PERSON: �r_-,uN�� �"T�i.►�c.��g,� MOBILE/PAGER: t��z L[,.�-U>1 y <br /> MAILINGADDRESS: 277L1/ L�uiur-o<ir-/ f���r_=,N�=.CITY: 1�.Z�,-, ZIP: �LIc� <br /> STATE LICENSE: # ��C L/ EXPIRATION DATE: r���� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home on Accessory Structure <br /> Move Home Remodel/Alteratio ie: Siding,Windows) _ C�_ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: ���,�►� �x�f,Truz, ��y�= �n�ar rrj <br /> o v�� ,�-�t-��'.��� L�t����r- �,c.i � l.t Sr,�.a� � ��,t� �rn� �1 z�,n P �yp�+t� <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding tand): $ 11 .-�`"�c>�—' <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 work will be <br /> in accordance with the approved plan. � <br /> . �_ .�...� ;, <br /> APPLICANT'S SIGNATURE: DATE: ,r191�g <br /> 31 <br />