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�� , . �/ � <br /> � <br /> 5 � <br /> �� <br /> , ,r.,�-� <br /> Total Fee: $ �P�do?, a� �'` ) Llate Received: �(i 'Z�'� ��YU lU� 7 Z � <br /> Entered By: Permit#: Pr1�1�� <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR ��GQNTRACTOR �; <br /> � <br /> JOB sITE a���ss: ,�3�._3�`� ��a�SC'��� �'_r�'�� e:._ zrP: _ ��3 `1 ( <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site pa�•king is available. Non-permitted events will not be allowed <br /> NAME OF OWNER: �� i,�C l d�D��SG'!� PI�ONE: (home) ;�?-'`�7i -�5�,5-p <br /> � <br /> ., (work) <br /> MAILING ADDRESS: � %i.SG�tse'o C,`��, • CITY: �/��et�7 ZIP: �,-,- �' <br /> CONTRACTOR�� � [� ���ctv; ���� ,�o � PHONE: (�,;'/;,? ;;?�/ �S/�� <br /> CONTACT PERSON: ` .�;� MOBII..E/PAGER: (;;/� -���� �{�� <br /> MAILING ADDRESS: , � � ��, � � /L� CITY: � , <u f" ZIP: �'�� � <br /> STATE LICENSE: # „2f�(��,3 I.� EXPIRATION DATE: 3/��;/p ,{� <br /> ARCHITECT/ENGINEER: ,j��•,�'Y'G; � �.o��` �,'�_ PHONE: y5� —��7�-�7S �' <br /> MAILINGADDRESS: %�(�� :.�''`' S� ,�'�r,Z;� '-DG� CITy: �Cc={�,(.s;Z�v" ZIP: ..�5-_5`��� ) <br /> NAME:. .,j • � � 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 nd permits ! <br /> P1�OPOSED WORK(describe in detai�: �� � � � ,5 ;��. • ,� w;�Y <br /> :�"�' ' <br /> Cl t '�E� �� e-7C �' r1�-L�1 �'�� 1r ` .� , <br /> , ' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> . � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $=5 .��"° �, �'��� <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 codes of the City and with the State Building <br /> Code;that I understand this is not a permit and wark is not to start without a permit;and that the work will be <br /> in accardance with the approved plan. <br /> ti � <br /> • APPLICANT'S SIGNATURE: - "�cZc�/ DATE: � �c�� i <br /> 31 <br />