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C f � j� �0 v7 <br /> otal Fee: $ �'J� •� G, Date Received: <br /> nte►-ed By: �- �� � C � Permit#: �-1 I(� � �>-�j <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 print all informatco�t) -_ _ � _.� . <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> HE APPLICANT IS: (cil�cle o�7e) OWNER OR�ONTRACTOR� <br /> OB SITE ADDRESS: 3��� S � ss z x �zo�� -o r-a�,o,M�v zIP: 5 s.;� c� <br /> ill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, n specia!eve�7t per•mit is regi�ir•ed lvith Police Departrnenl aj�d City Coarncil appr•oval <br /> 60 days prior to the event. Sl�irt�le bus servzce 1vr/(be r�equi��ed au�less applicant demonsh�ates <br /> si fficient on-site�arlting is available. No��-permitted events lvill r�ot be allo��ved. <br /> AM�OF OWNER J�I��, �� PHONE: �I10111C� /SZ-4 75 - ¢9� z <br /> (wor(<) -- <br /> AILING ADDRESS: 3 �c; S�s�•f� �'�► CITY: ��Y��v ZIP: 5 5 3 s cn <br /> ONTRACTOR: I`��} . P�`f�Y.S"c�1� PHONE: �_SZ.- 925— 9�}-SS � <br /> ONTACT PERSON: !UT A kk Fcfer 5��, MOBILE/PAGER: <br /> AILING ADDRESS: (��;, / G•luJ.�al� Ave - CITY: F��I�� ZIP: 5 S�/-2,4 <br /> TATE LICENSE: # �,�.�-7a4- EXPIRATION DATE: 3 - �! - d7 <br /> CHITECT/ENGINEER: _R�h kli� e PHONE: ���- 9�5 - 94SS <br /> AILING ADI)RESS: (,j� � �-�o�[ult Prv�� CITY: Ed�y1 ti ZIP: �s �. ,�- <br /> AME: REGISTRATION: # <br /> YPE OF WOI2K: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Sidina, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> 120�'OSEll WORK(describe in detain: Gt�l,� t�v� �✓er��n� G- -1-12e <br /> �Yo� ���n�p a F �oYYbtte � <br /> S ORIES: Z SQ.FEET O�EACH FLOOR: <br /> O. OF BEDROOMS: GAIZAGE S'I'ALI,S: ATTACHED�_ DETACHED_ <br /> S�'ili�E1TED COl'�IST'IZUCT'ION VALUA'I'IOIr1(exc➢uding land): � $ ?�� 75 0 <br /> I �ereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> t} at the work�vill be 'in conformance with the ordinances and codes ofthe City and �vith the State Building <br /> C de;that I understand this is not a permit anci��-ork is not to start�a�ithout a periz�it;and that the��-ork wi ll be <br /> i accordance with the approved plan. <br /> PPLICAIVT`S S�GNA�C�1�2�: � �A'��,: J—,3v- o � <br /> 31 <br />