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r <br />�\ CITY UN ORONO <br />BUILDING PERMIT APPLICATION <br />Building Permit Appiication Requirements: <br />1. Building permit application - to be filled out completely and signed <br />2. 2 sets of construction plans to inciude the following. <br />a) First floor plan; <br />b) Footing and foundation plan; <br />c) Elevations (of all sides); <br />d) Wall sections and cross sections; <br />e) Details - stairs and any special connections. <br />3. Certificate of survey, including hardcover calculations and grading and <br />drainage plans as required. <br />4. Energy calculations - form provided. <br />5. Septic report and design if required. <br />ROVE INFORMATION MUST BE SUBMITTED IN FULL BEFORE PI,AN REVIEW MILL BE STARTED <br />-------� Y-------------------••----------------------------- ------------------- <br />uAT--E THE AP"LICANT IS (circle one) 4OWNEF or CONTRACTOR <br />JOB SITE ADDRESS: INly /►Al" �l( I I ZIP: <br />LEGAL DESCRIPTION: LOT: 1 4' BLOCK: OV 1 ADDITION_ / ) ' /ems <br />1 - <br />NAME OF OWNER : ,'i A L tt e lw , ;r7 rAy c _ PHONE: 4 ! 5 <br />MAILING ADDRESS: �/4f''( CITY: ZIP: - <br />CONTRACTOR: L 1A ^ '' i <br />PHONE: <br />MAILING ADDRESS: CITY:_ ZIP: <br />ARCHITECT: 'HONE: <br />MAILING ADDRESS:- � CITY: <br />TYPE OF WORK: New Addition Accessory Stru-ture Move ^ __ <br />Demo Remodel/Alteration Renciate <br />PROPOSED USE (describe in detail): /4.32c.t L <br />CONST. TYPE: BLDG SIZEc I,. W. H. STORIES:�__A A <br />SQ. FEET:_ NO. OF BEDROOMS :__- GARAGE? —STALLS: ATT. <br />ESTIMNTED CONSTRUCTION VALUATION (excluding land) : S <br />I hereby apply for a building permit and I acknowledge that the information <br />above is complete and accurate; that the work will be in conforman<•e with thr. <br />ordinances and codes of the City and with the State Building Code; that <br />understand this is not a permit and work is not to start without a permit ; and <br />that the work will be in �ecordance with the approved plan. <br />t-PLICAHT'S SIGNATURE: /T;, DATE: -��-! ----� <br />(Plea si-i TF ditherover" 614e of t s form) i <br />