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I <br /> Total Fee: $ i) �� <br /> l-' Date Received: v_-1_ '%= % A <br /> Entered By: .D/ ( v-cc 5g41ob Permit#: S -- is --UG:, <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 /> THE APPLICANT IS: (circle one) OWNER ,CONTRACTOR I <br /> JOB SITE ADDRESS: 0 000 'V\i'.��\or.S--1 �7cl., \ ZIP: <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes 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: )of & iCj c- 1 ( PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: l W 1‘\b1---'N/r SI r CITY: Di o-rThC ZIP: <br /> CONTRACTOR: 5C'1- NPI r Ev'>\ & _r3 -.rteC, PHONE: c\s 2., Ll—7-6 4,-66 <br /> CONTACT PERSON: ___ ,./ f'I' Sc)- c,c Z. MOBILE/PAGER: 612 38 4, g ' 13 <br /> MAILING ADDRESS: --0.7 r`r e„-,',t-c4 .., H.cc CITY: W cy 2 k-, ZIP: S$?/ I <br /> STATE LICENSE: # '?mal p_ EXPIRATION DATE: r-N. C ) c7-7 <br /> ARCHITECT/ENGINEER: 7 f 1 L k c ( \"Th'..TOR: PHONE: 95) `.-1 cry -' -)415 <br /> MAILING ADDRESS: 3o7 s ,P CITY: 'W��2c.-c, ZIP: SSD q 1 <br /> NAME: n. .C--� JS.4 L0,-1-;..,r-Th c e c 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(describe in detail): L_0Niv c. ( L czJ c0 C , r1 S ()----- <br /> STORIES: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ \ 0 4:::) D <br /> i <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 ad- of the City and with the State Building <br /> Code;that I understand this is not a permit and , k is 'of to /.rt 1ithout a permit;and that the work will be <br /> in accordance with the approved plan. // <br /> APPLICANT'S SIGNATURE: " �1� /j4 DATE: ' c''') 1s a b <br /> 31 <br />