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/V�.c�.�r L�� �c��c' .i�.�y� � , �-�� S��er— t3�1 �� -���� <br /> , <br /> �,. <br /> i`'.. <br /> � �����s / ���5'��C.� <br /> ,Total Fee: $ ��� � ��' � �L Date Received: <br /> EnteredBy: �-/� c: ;r�", �/?� Permit#: � —/� �(�� <br /> CITY OF ORONO - BUILDING ERMIT APPLICATION <br /> All information must be submitted in ful before plan review will be started. <br /> (please print all ' formation) <br /> -------------------------------------------------------------- --------------------------------------------------------- <br /> THE APPLICANT IS: (circle o�ze) O R OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� ���,� I�� N� � ����o /`'t.ti� ZIP: �� �3 �� <br /> � <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO !f yes, a special event pernait is requirec!with Police Deparfinent and City Council appr•ova! <br /> 60 days prior to the everzt. Shuttle bus service will be regt�ij-ed unless applicant demonsti•ates <br /> satff cient on-site parking is avnilable. Non-perrnitted evef�ts�vill not be allowec! <br /> / <br /> NAME OF OWNER: � �'�� P�''��� ''� PHONE: (home) 9SZ y7 2. S� 8 � <br /> �� �e:1� � �� ��,;�,�a�y --� (wock> 6rz- f�Y"— Y9 Y7 c�l� <br /> MAILING ADDRESS: 5�� � �rM �� CITY: L? r un o ZIP: 5'S3 !c�{ — <br /> CONTRACTOR: �- 5�- ��* ��" PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WO/jRK(describ/e in ctetain: ��+� �r�;�^��� �'�eC���r�� n�� (�p ��c� <br /> I�S�"(R,tr�Ii s1�1(}� rca N,���t�( i�� h1���n ���� j!V ' !' ,� �@ c�i U:;�•�t <br /> STORIES: ✓ SQ.FEETOFEACHFLOOR: A �-c� Z`�00 �Y'�='�� l�ls�.� Zc�e � ��er <br /> NO. OF BEDROOMS: �� GARAGE STALLS: ATTAC ED 2 DETACHED �����r � <br /> cL <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � "'��'�' ` <br /> i hereby apply for a bui►ding permit and I acknow(edge 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: � l�L �{% DATE: � � � C� _ <br /> 3t <br />