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. � ���� <br /> /2-/3-D7 <br /> TotalFee: $ �/J'�s� DateReceived: ��-�]-�7 <br /> Entered By: Permit#: �Q!!(olo� <br /> CITY OF ORONO - BUILDING P RMIT APPLICATION <br /> All information must be submitted in full be ore plan review will be started. <br /> (please print all infor ation) <br /> --------------------------------------------------------------------- -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �II$5 g�C�4.. ZIP: $5 354 <br /> Will this be a Parade of Homes, Remodeters Showca e Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required ti ith Police Depariment and City Council approval <br /> 60 days prior to the event. Shuttle bus ser ice will be re yuired unless applicant demonstrates <br /> su�cient on-site parking is available. N n permitted events will not be allowed. <br /> NAME OF OWNER: �- �r {!� PHONE: (home)�{$2�`175-3�� <br /> (work) — <br /> MAILING ADDRESS: �(($5 (�j��� (�.. CITY: C�1�dIrbC� ZIP: 553'S9 <br /> CONTRAC�'OR: �'t `' c• PHONE: (�2-$(oq-($Q9 <br /> CONTACTPERSON: �y,�,(�;e, N�g�,,�,t OBILE/PAGER: l�(2-qQ�-q�{8�j � <br /> MAILING ADDRESS: 2 • CITY: (� �2n Vul ZIP: 5 22 <br /> STATE LICENSE: # ZU�-{5o3g3 EX IRATION DATE: 1 v <br /> ARCHITECT/EN(�1NEER: PHONE: to $ <br /> MAILING ADDRESS: CITY: Z,, <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel Alteration (ie: Siding, Windows) X <br /> Any earth movement may r quire MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: ,� ' 'v►rl <br /> i S <br /> STORIES: 1�i��nQ.FEET OF EACH FL OR: ,��, Z..tSc� <br /> NO. OF BEDROOMS: �_{� GARAGE STALLS ATTACHED 2 DETACHED a <br /> ESTIMATED CONSTRUCTION VALUATION(ex luding land): $ •Sl0� cX�t� <br /> I hereby apply for a building permit and I acknowledge that t e information above is complete and accurate; <br /> that the work will be in conformance with the ordinances an codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to tart without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � DATE: ( / U� <br /> 31 <br />